MAE BALDWIN STRACNER

ROSEBURG, OR
NPI1033578059
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  12-R-37)
Enumeration Date2016-02-18
Last Update Date2016-02-18
Business Address
Mrs. MAE BALDWIN STRACNER CAADAC II CADC II
548 SE JACKSON ST
ROSEBURG, OR 97470-2709
Phone number: 541-672-2691
Mailing Address
Mrs. MAE BALDWIN STRACNER CAADAC II CADC II
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691