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1780007476
CRYSTAL ROSE TEMPLE
SAINT HELENS, OR
NPI
1780007476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-01-30
Last Update Date
2016-10-10
Business Address
-- CRYSTAL ROSE TEMPLE
58646 MCNULTY WAY
SAINT HELENS, OR 97051-6210
Phone number: 503-397-5211
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Mailing Address
-- CRYSTAL ROSE TEMPLE
58646 MCNULTY WAY
SAINT HELENS, OR 97051-6210
Phone number: 503-397-5211
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