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Mr. Graham Nelson Retasket
Addiction (Substance Use Disorder) Counselor in Dallas, Oregon
NPI 1629848106

Graham Nelson Retasket is an Addiction (Substance Use Disorder) Counselor based in Corvallis, OR and is specialized in Addiction (Substance Use Disorder). Graham Nelson Retasket practices in Dallas, OR. The NPI Number for Graham Nelson Retasket is 1629848106 and holds a License No. (Oregon).

The current practice location address for Graham Nelson Retasket is 182 Sw Academy St, Dallas, OR and can be reached out via phone at 503-962-3928.

Location: 182 Sw Academy St, Dallas, OR, 97333-2191
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629848106
Provider Name
Graham Nelson Retasket
Credential
Provider Entity Type
Individual
Gender
Male
Address
182 Sw Academy St, Dallas, OR, 97333-2191
Phone Number
503-962-3928
Fax Number
Provider Enumeration Date
01/04/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
182 Sw Academy St
City
Dallas
State
Oregon
Zip
97338-1996
Phone Number
503-962-3928
Fax Number
person
Provider Business Mailing Address Details
Address
182 Sw Academy St
City
Dallas
State
Oregon
Zip
97338-1996
Phone Number
503-962-3928
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.
()
Definition
Definition to come...
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