JESSE BENJAMIN FLACK

ALBANY, OR
NPI1154980308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  21-04-10112)
Enumeration Date2019-06-11
Last Update Date2021-10-04
Business Address
JESSE BENJAMIN FLACK CADC-I
1050 PRICE RD SE
ALBANY, OR 97322-7314
Phone number: 541-928-9681
Mailing Address
JESSE BENJAMIN FLACK CADC-I
PO BOX 8549
COBURG, OR 97408-1313
Phone number: 541-687-1110
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