KELLEY STORY

LEBANON, OR
NPI1194862821
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  13-R-34)
Enumeration Date2007-01-31
Last Update Date2018-09-13
Business Address
KELLEY STORY LADC, CCS
100 MULLINS DR STE C2
LEBANON, OR 97355-2868
Phone number: 541-451-6388
Mailing Address
KELLEY STORY LADC, CCS
100 MULLINS DR STE C2
LEBANON, OR 97355-2868
Phone number: 541-451-6388