KORBEN J CHESNUT-PETRY

SALEM, OR
NPI1841805959
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  18-02-03)
Enumeration Date2020-09-15
Last Update Date2020-09-15
Business Address
KORBEN J CHESNUT-PETRY CADC 1
1325 COMMERCIAL ST SE
SALEM, OR 97302-4205
Phone number: 971-301-9574
Mailing Address
KORBEN J CHESNUT-PETRY CADC 1
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-391-9762
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