person
Conrad M Douma JR., CADCI
Addiction (Substance Use Disorder) Counselor in Siletz, Oregon
NPI 1023131646

Conrad M Douma JR. is an Addiction (Substance Use Disorder) Counselor based in Siletz, OR and is specialized in Addiction (Substance Use Disorder). Conrad M Douma JR. practices in Siletz, OR and has the professional credentials of CADCI. The NPI Number for Conrad M Douma JR. is 1023131646 and holds a License No. 99-11-10 (Oregon).

The current practice location address for Conrad M Douma JR. is 107 Se Swan, Siletz, OR and can be reached out via phone at 541-444-1030 and via fax at 541-444-9695.

Location: 107 Se Swan, Siletz, OR, 97380-0320
person
Provider Profile Details
NPI Number
1023131646
Provider Name
Conrad M Douma JR.
Credential
CADCI
Provider Entity Type
Individual
Gender
Male
Address
107 Se Swan, Siletz, OR, 97380-0320
Phone Number
541-444-1030
Fax Number
541-444-9695
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
107 Se Swan
City
State
Zip
97380
Phone Number
541-444-1030
Fax Number
541-444-9695
person
Provider Business Mailing Address Details
Address
107 Se Swan
City
State
Zip
97380
Phone Number
541-444-1030
Fax Number
541-444-9695
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
99-11-10 (Oregon)
Definition
Definition to come...
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