KANDI KAY KIRBY

ROSEBURG, OR
NPI1720448020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-02-29
Last Update Date2016-02-29
Business Address
Miss KANDI KAY KIRBY CADC I
548 SE JACKSON ST
ROSEBURG, OR 97470-4983
Phone number: 541-672-2691
Mailing Address
Miss KANDI KAY KIRBY CADC I
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691