CRYSTAL DYANN LARA

HERMISTON, OR
NPI1669011417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-12-26
Last Update Date2019-12-26
Business Address
CRYSTAL DYANN LARA CIT
32773 W WALLS RD
HERMISTON, OR 97838-6364
Phone number: 541-567-2949
Mailing Address
CRYSTAL DYANN LARA CIT
32405 DIAGONAL RD
HERMISTON, OR 97838-7503
Phone number: 541-567-2949
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