KATIE KING

KEIZER, OR
NPI1972080711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  18-04-07)
Enumeration Date2018-07-24
Last Update Date2018-07-24
Business Address
KATIE KING CADC I
1184 MCGEE CT NE
KEIZER, OR 97303-9443
Phone number: 503-304-4358
Mailing Address
KATIE KING CADC I
PO BOX 20674
KEIZER, OR 97307-0674
Phone number: 503-304-4358