MASON ANTHONY MARIN

COBURG, OR
NPI1033958905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-22-1780)
Enumeration Date2024-05-21
Last Update Date2024-05-21
Business Address
MASON ANTHONY MARIN CADC-R, CRM 1
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-606-3308
Mailing Address
MASON ANTHONY MARIN CADC-R, CRM 1
760 W 8TH AVE
EUGENE, OR 97402-5165
Phone number: