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Individual

JO M MEZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAPC II NCAC

Contact information

Practice address
161 HIGH ST SE STE 223, SALEM, OR 97301-3621
(503) 930-6744
(503) 363-0833
Mailing address
161 HIGH ST SE STE 223, SALEM, OR 97301-3621
(503) 930-6744
(503) 363-0833

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000329
OR

Other

Enumeration date
03/03/2009
Last updated
03/03/2009
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