CATHLEEN WALLACE

BEND, OR
NPI1215772371
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-23-2723)
Enumeration Date2024-06-28
Last Update Date2024-06-28
Business Address
CATHLEEN WALLACE
920 SW EMKAY DR STE 104
BEND, OR 97702-1043
Phone number: 541-383-0844
Mailing Address
CATHLEEN WALLACE
920 SW EMKAY DR STE 104
BEND, OR 97702-1043
Phone number: 541-383-0844