Individual
NANCY LEE MACKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
948 NE 102ND AVE, STE 101, PORTLAND, OR 97220-4064
(503) 257-0381
Mailing address
3738 NW 3RD AVE, CAMAS, WA 98607-8321
(360) 834-9399
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IN
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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