EVARISTO JESUS ANTUNEZ

SAINT HELENS, OR
NPI1659038743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-11-23
Last Update Date2021-11-23
Business Address
EVARISTO JESUS ANTUNEZ
58147 COLUMBIA RIVER HWY STE C
SAINT HELENS, OR 97051-6229
Phone number: 503-901-9385
Mailing Address
EVARISTO JESUS ANTUNEZ
58147 COLUMBIA RIVER HWY STE C
SAINT HELENS, OR 97051-6229
Phone number: 503-901-9385