GLEN ALLEN SUCHANEK

OAK GROVE, OR
NPI1588221691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  18-07-04)
Enumeration Date2019-05-23
Last Update Date2019-05-23
Business Address
Mr. GLEN ALLEN SUCHANEK CADCI, CRM
3811 SE CONCORD RD
OAK GROVE, OR 97267-3911
Phone number: 971-269-6812
Mailing Address
Mr. GLEN ALLEN SUCHANEK CADCI, CRM
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 971-269-6812
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