JUSTIN SCOTT NIELSEN

KEIZER, OR
NPI1124324330
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  08-08-54)
Enumeration Date2011-02-04
Last Update Date2023-12-15
Business Address
MR. JUSTIN SCOTT NIELSEN CADCII
3793 RIVER RD N
KEIZER, OR 97303-4827
Phone number: 503-304-4358
Mailing Address
MR. JUSTIN SCOTT NIELSEN CADCII
PO BOX 20674
KEIZER, OR 97307-0674
Phone number: 503-304-4358
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