Individual
PATRICK TRELEAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
676 NE NEGUS WAY, REDMOND, OR 97756-8527
(541) 516-4087
(541) 504-1195
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 516-4087
(541) 504-1195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3661
OR
101YM0800X
Mental Health Counselor
3661
OR
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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