MIKEL-ANNE DEVINE

DALLAS, OR
NPI1174170187
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-08-23
Last Update Date2024-10-23
Business Address
MIKEL-ANNE DEVINE CADC I
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-623-9289
Mailing Address
MIKEL-ANNE DEVINE CADC I
1201 SW BRYSON ST
DALLAS, OR 97338-1360
Phone number: 503-496-2889