RICK LEWIS LARECY

ROSEBURG, OR
NPI1518325505
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  15-05-28)
Enumeration Date2016-02-04
Last Update Date2016-02-04
Business Address
Mr. RICK LEWIS LARECY CADC II
548 SE JACKSON ST
ROSEBURG, OR 97470-2709
Phone number: 541-672-2691
Mailing Address
Mr. RICK LEWIS LARECY CADC II
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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