person
Mr. Lawrence Squiemphen, CADCI
Addiction (Substance Use Disorder) Counselor in Madras, Oregon
NPI 1669948857

Lawrence Squiemphen is an Addiction (Substance Use Disorder) Counselor based in Bend, OR and is specialized in Addiction (Substance Use Disorder). Lawrence Squiemphen practices in Madras, OR and has the professional credentials of CADCI. The NPI Number for Lawrence Squiemphen is 1669948857 and holds a License No. T-17-163 (Oregon).

The current practice location address for Lawrence Squiemphen is 125 Sw C St, Madras, OR and can be reached out via phone at 541-306-4566 and via fax at 541-320-9005.

Location: 125 Sw C St, Madras, OR, 97701-4268
person
Provider Profile Details
NPI Number
1669948857
Provider Name
Lawrence Squiemphen
Credential
CADCI
Provider Entity Type
Individual
Gender
Male
Address
125 Sw C St, Madras, OR, 97701-4268
Phone Number
541-306-4566
Fax Number
541-320-9005
Provider Enumeration Date
10/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 Sw C St
City
State
Zip
97741-1458
Phone Number
541-306-4566
Fax Number
541-320-9005
person
Provider Business Mailing Address Details
Address
125 Sw C St
City
State
Zip
97741-1458
Phone Number
541-306-4566
Fax Number
541-320-9005
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-17-163 (Oregon)
Definition
Definition to come...
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