Individual
COREY WAYNE STRONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRM, NCTTP
Contact information
Practice address
200 GWEE SHUT RD, SILETZ, OR 97380-2036
(541) 444-9682
Mailing address
PO BOX 320, SILETZ, OR 97380-0320
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19-CRM-246
OR
251S00000X
Community/Behavioral Health Agency
19-CRM-246
OR
Other
Enumeration date
11/07/2019
Last updated
06/22/2022
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