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Susan Marie Klein
Addiction (Substance Use Disorder) Counselor in Dallas, Oregon
NPI 1023239761

Susan Marie Klein is an Addiction (Substance Use Disorder) Counselor based in Dallas, OR and is specialized in Addiction (Substance Use Disorder). Susan Marie Klein practices in Dallas, OR. The NPI Number for Susan Marie Klein is 1023239761 and holds a License No. 04-R-19 (Oregon).

The current practice location address for Susan Marie Klein is 182 Sw Academy St, Dallas, OR and can be reached out via phone at 503-623-9289.

Location: 182 Sw Academy St, Dallas, OR, 97338-1922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023239761
Provider Name
Susan Marie Klein
Credential
Provider Entity Type
Individual
Gender
Female
Address
182 Sw Academy St, Dallas, OR, 97338-1922
Phone Number
503-623-9289
Fax Number
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04-R-19 01 OR CADC-II
institution
Provider Business Practice Location Address Details
Address
182 Sw Academy St
City
Dallas
State
Oregon
Zip
97338-1922
Phone Number
503-623-9289
Fax Number
person
Provider Business Mailing Address Details
Address
182 Sw Academy St
City
Dallas
State
Oregon
Zip
97338-1922
Phone Number
503-623-9289
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
04-R-19 (Oregon)
Definition
Definition to come...
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