KIM Y. WAITERS

SALEM, OR
NPI1962190546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-22-2027)
Enumeration Date2023-05-01
Last Update Date2023-05-01
Business Address
KIM Y. WAITERS CADC Registrant
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-860-9099
Mailing Address
KIM Y. WAITERS CADC Registrant
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-860-9099