Individual
KRYSTAL GAIL ROLOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 DAVCOR ST SE, SALEM, OR 97302-1595
(503) 576-4660
Mailing address
2035 DAVCOR ST SE, SALEM, OR 97302-1595
(503) 576-4660
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17-CRM-085
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18-01-27
OR
Other
Enumeration date
09/05/2017
Last updated
07/21/2022
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