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1871968602
JEFFREY A CHRISTOPHERSEN
GRANTS PASS, OR
NPI
1871968602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 16-04-28)
Enumeration Date
2015-12-04
Last Update Date
2020-03-31
Business Address
Mr. JEFFREY A CHRISTOPHERSEN CADC1, QMHA1
109 NW MANZANITA AVE
GRANTS PASS, OR 97526
Phone number: 541-479-8847
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Mailing Address
Mr. JEFFREY A CHRISTOPHERSEN CADC1, QMHA1
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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