GLENN WALTER DEVENEY

BEND, OR
NPI1164905253
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  18-03-13)
Enumeration Date2018-09-13
Last Update Date2021-09-01
Business Address
GLENN WALTER DEVENEY CADC I
920 SW EMKAY DR STE 104
BEND, OR 97702-1043
Phone number: 541-383-0844
Mailing Address
GLENN WALTER DEVENEY CADC I
920 SW EMKAY DR STE 104
BEND, OR 97702-1043
Phone number: 541-383-0844