TASHA ANNE WALTER

COOS BAY, OR
NPI1114499324
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  12-12-62)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: OR  19-QMHA-I-00761)
175T00000X Peer Specialist
(Licence: OR  11-CRM-131)
175T00000X Peer Specialist
(Licence: OR  THW000002674)
Enumeration Date2018-12-28
Last Update Date2019-04-15
Business Address
TASHA ANNE WALTER CADC 1, CRM, PSS
155 S EMPIRE BLVD
COOS BAY, OR 97420-3374
Phone number: 541-756-3111
Mailing Address
TASHA ANNE WALTER CADC 1, CRM, PSS
1942 SHERIDAN AVE
NORTH BEND, OR 97459-3416
Phone number: 541-756-3111