MICHAEL LEE NOVA

SALEM, OR
NPI1316347867
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  13-06-42)
Enumeration Date2014-09-02
Last Update Date2014-09-02
Business Address
-- MICHAEL LEE NOVA CADC1
2035 DAVCOR ST SE
SALEM, OR 97302-1595
Phone number: 503-576-4660
Mailing Address
-- MICHAEL LEE NOVA CADC1
2035 DAVCOR ST SE
SALEM, OR 97302-1595
Phone number: 503-576-4660
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