Individual
ADRIANA ELIZABETH LARSEN DE GISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER, CADCI
Contact information
Practice address
4422 NE DEVILS LAKE BLVD STE 2, LINCOLN CITY, OR 97367-5000
(541) 265-4947
(541) 994-0261
Mailing address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2060
(503) 879-2071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC CANDIDATE
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-16-275
OR
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/28/2015
Last updated
06/21/2021
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