JOHN WALTER LEE

COBURG, OR
NPI1629780770
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  R8780)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-22-2191)
Enumeration Date2022-12-20
Last Update Date2024-05-01
Business Address
Mr. JOHN WALTER LEE
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-204-2276
Mailing Address
Mr. JOHN WALTER LEE
PO BOX 8549
COBURG, OR 97408-1313
Phone number: 541-204-2276