Individual
ANNE C CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LPC,CADC II
Contact information
Practice address
1901 ESTHER ST, NEWBERG, OR 97132-9529
(651) 213-4286
Mailing address
1901 ESTHER ST, NEWBERG, OR 97132-9529
(651) 213-4286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C1213
OR
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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