MIKKI PROFFITT

SANDY, OR
NPI1396375663
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  CADCI)
Enumeration Date2020-01-24
Last Update Date2020-01-24
Business Address
MIKKI PROFFITT CADCI
19595 SE MARTIN RD
SANDY, OR 97055-8241
Phone number: 541-306-1254
Mailing Address
MIKKI PROFFITT CADCI
PO BOX 1825
ESTACADA, OR 97023-1825
Phone number: 541-306-1254