NATHANIEL ALLEN LACUESTA SHERWOOD

KEIZER, OR
NPI1396566329
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2024-10-22
Last Update Date2024-10-22
Business Address
NATHANIEL ALLEN LACUESTA SHERWOOD
1755 LOCKHAVEN DR NE
KEIZER, OR 97303-2071
Phone number: 503-851-8585
Mailing Address
NATHANIEL ALLEN LACUESTA SHERWOOD
1740 SHAFF RD # 233
STAYTON, OR 97383-1092
Phone number: