ROBERT WILLIAM VAN NIEL

COBURG, OR
NPI1932958394
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-24-3975)
Enumeration Date2024-05-16
Last Update Date2024-05-16
Business Address
ROBERT WILLIAM VAN NIEL
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 408-438-7147
Mailing Address
ROBERT WILLIAM VAN NIEL
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 408-438-7147
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