JUSTYN REID STATEN

PRINEVILLE, OR
NPI1851027411
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  21-11-10279)
Enumeration Date2022-07-26
Last Update Date2022-09-15
Business Address
JUSTYN REID STATEN CADC-I, PSS, CRM
1333 NW 9TH ST
PRINEVILLE, OR 97754-1482
Phone number: 541-447-2631
Mailing Address
JUSTYN REID STATEN CADC-I, PSS, CRM
1356 NW DAVENPORT AVE
BEND, OR 97703-3077
Phone number: 541-699-9226
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