Individual
AMANDA MITSENE WEDOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-1, QMHA-R
Contact information
Practice address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 683-1110
Mailing address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 683-1110
(541) 683-9061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
11/02/2023
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