SHANNON MATSON

MADRAS, OR
NPI1194102111
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  15-01-07)
Enumeration Date2015-04-28
Last Update Date2015-04-28
Business Address
-- SHANNON MATSON CADC I
125 SW C ST
MADRAS, OR 97741-1458
Phone number: 541-475-6575
Mailing Address
-- SHANNON MATSON CADC I
125 SW C ST
MADRAS, OR 97741-1458
Phone number: 541-475-6575
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