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1457942831
THOMAS JASON HENSLEY
PRINEVILLE, OR
NPI
1457942831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-21-1152)
Enumeration Date
2021-01-28
Last Update Date
2023-06-22
Business Address
THOMAS JASON HENSLEY CADCR
1059 NW MADRAS HWY
PRINEVILLE, OR 97754-1416
Phone number: 541-323-5330
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Mailing Address
THOMAS JASON HENSLEY CADCR
PO BOX 1710
REDMOND, OR 97756-0516
Phone number: 541-504-9577
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