Individual
ROBERT OTTO HENKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
365 NE COURT ST, PRINEVILLE, OR 97754-1936
(541) 447-7441
(541) 447-6694
Mailing address
365 NE COURT ST, PRINEVILLE, OR 97754-1936
(541) 447-7441
(541) 447-6694
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06-11-27
OR
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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