Individual
MRS. REBEKKAH ANNE IGOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
960 LIBERTY ST SE STE 120, SALEM, OR 97302-4165
(503) 588-2804
(503) 371-6743
Mailing address
503 ECOLS ST N, MONMOUTH, OR 97361-1410
(971) 239-9335
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
210110014
OR
Other
Enumeration date
07/07/2021
Last updated
06/15/2022
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