JUSTIN SAMUEL MADEIRA

SPRINGFIELD, OR
NPI1144622291
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-09-19
Last Update Date2014-09-19
Business Address
-- JUSTIN SAMUEL MADEIRA
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
Mailing Address
-- JUSTIN SAMUEL MADEIRA
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465