SAGE VIDAL

ALBANY, OR
NPI1649921495
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2022-01-13
Last Update Date2022-01-13
Business Address
SAGE VIDAL QMHA
445 3RD AVE SW
ALBANY, OR 97321-2272
Phone number: 541-967-3866
Mailing Address
SAGE VIDAL QMHA
PO BOX 100
ALBANY, OR 97321-0031
Phone number: