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1104423565
NICOLE HENDRICKSON
PRINEVILLE, OR
NPI
1104423565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-10-07
Last Update Date
2020-10-07
Business Address
NICOLE HENDRICKSON CADC
1059 NW MADRAS HWY
PRINEVILLE, OR 97754-1416
Phone number: 541-323-5330
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Mailing Address
NICOLE HENDRICKSON CADC
PO BOX 1710
REDMOND, OR 97756-0516
Phone number: 541-516-4087
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