JERICK MICHAEL COLLINS-FLY

KLAMATH FALLS, OR
NPI1891494209
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2023-02-24
Last Update Date2023-02-24
Business Address
JERICK MICHAEL COLLINS-FLY
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603-2612
Phone number: 541-884-5244
Mailing Address
JERICK MICHAEL COLLINS-FLY
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603-2612
Phone number: 541-884-5244