MARK SASICH

REDMOND, OR
NPI1790156834
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  07-06-45)
Enumeration Date2015-10-15
Last Update Date2015-10-15
Business Address
-- MARK SASICH CADC I
340 NW 5TH ST BOX 1710
REDMOND, OR 97756-1869
Phone number: 541-883-2795
Mailing Address
-- MARK SASICH CADC I
2555 MAIN ST
KLAMATH FALLS, OR 97601-2723
Phone number: 541-883-2795
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