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Individual

KAITLIN SELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC I

Contact information

Practice address
465 COMMERCIAL ST NE STE 150, SALEM, OR 97301
(503) 362-2780
(503) 362-3768
Mailing address
465 COMMERCIAL ST NE STE 150, SALEM, OR 97301-3414
(503) 362-2780
(503) 362-3768

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17-08-17
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17-08-17
ADDICTIONS COUNSELOR CERTIFICATION BOARD OF OREGON (ACCBO)
OR
Enumeration date
07/24/2018
Last updated
07/25/2018
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