Individual
ASHLEY COLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
68982 WILLOW CREEK RD, HEPPNER, OR 97836-6258
(541) 676-5125
Mailing address
PO BOX 536, HEPPNER, OR 97836-0536
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
OR
05
—
101YM0800X
—
OR
Enumeration date
02/17/2016
Last updated
02/17/2016
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