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Kristofer Richard Blankenship, CRM,CADC-R
Addiction (Substance Use Disorder) Counselor in Albany, Oregon
NPI 1689381428

Kristofer Richard Blankenship is an Addiction (Substance Use Disorder) Counselor based in Albany, OR and is specialized in Addiction (Substance Use Disorder). Kristofer Richard Blankenship practices in Albany, OR and has the professional credentials of CRM,CADC-R. The NPI Number for Kristofer Richard Blankenship is 1689381428 and holds a License No. T-22-2097 (Oregon).

The current practice location address for Kristofer Richard Blankenship is 433 3Rd Ave Se, Albany, OR and can be reached out via phone at 541-791-7193.

Location: 433 3Rd Ave Se, Albany, OR, 97321-2860
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689381428
Provider Name
Kristofer Richard Blankenship
Credential
CRM,CADC-R
Provider Entity Type
Individual
Gender
Male
Address
433 3Rd Ave Se, Albany, OR, 97321-2860
Phone Number
541-791-7193
Fax Number
Provider Enumeration Date
11/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
433 3Rd Ave Se
City
Albany
State
Oregon
Zip
97321-2860
Phone Number
541-791-7193
Fax Number
person
Provider Business Mailing Address Details
Address
433 3Rd Ave Se
City
Albany
State
Oregon
Zip
97321-2860
Phone Number
541-791-7193
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.
T-22-2097 (Oregon)
Definition
Definition to come...
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