STANLEY THEODORE HIXSON

EUGENE, OR
NPI1417733874
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-09-01
Last Update Date2023-09-01
Business Address
STANLEY THEODORE HIXSON
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number: 541-434-2993
Mailing Address
STANLEY THEODORE HIXSON
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number:
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