JUSTIN WAYNE WHITE

CORVALLIS, OR
NPI1275265019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-06-29
Last Update Date2022-06-29
Business Address
JUSTIN WAYNE WHITE
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
Mailing Address
JUSTIN WAYNE WHITE
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835