Individual
AMANDA BALDONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC 1 INTERN
Contact information
Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(403) 434-7523
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(403) 434-7523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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