RYAN LACASSE

SALEM, OR
NPI1518284785
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  10-06-24)
Enumeration Date2010-04-28
Last Update Date2011-02-08
Business Address
-- RYAN LACASSE CADC-1
3325 HAROLD DR NE
SALEM, OR 97305-1339
Phone number: 503-363-2021
Mailing Address
-- RYAN LACASSE CADC-1
PO BOX 17818
SALEM, OR 97305-7818
Phone number: 503-540-5579
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