KRISTOFER RICHARD BLANKENSHIP

ALBANY, OR
NPI1689381428
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-22-2097)
Enumeration Date2022-11-01
Last Update Date2022-11-01
Business Address
KRISTOFER RICHARD BLANKENSHIP CRM, CADC-R
433 3RD AVE SE
ALBANY, OR 97321-2860
Phone number: 541-791-7193
Mailing Address
KRISTOFER RICHARD BLANKENSHIP CRM, CADC-R
433 3RD AVE SE
ALBANY, OR 97321-2860
Phone number: 541-791-7193