REYAN EMERIL WENZEL

BAKER CITY, OR
NPI1093564817
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-24-3986)
Enumeration Date2024-05-14
Last Update Date2024-05-14
Business Address
REYAN EMERIL WENZEL
3600 13TH ST
BAKER CITY, OR 97814-1346
Phone number: 541-523-9559
Mailing Address
REYAN EMERIL WENZEL
3425 13TH ST
BAKER CITY, OR 97814-1340
Phone number: 541-523-7400