WILLIAM C. POULTER

ROSEBURG, OR
NPI1528426517
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  96-04-122)
Enumeration Date2016-02-04
Last Update Date2016-02-04
Business Address
MR. WILLIAM C. POULTER CADC II-ACCBO (OREGO
548 SW JACKSON ST
ROSEBURG, OR 97470-2709
Phone number: 541-672-2691
Mailing Address
MR. WILLIAM C. POULTER CADC II-ACCBO (OREGO
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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