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Mr. Gavon Marino
Addiction (Substance Use Disorder) Counselor in Coburg, Oregon
NPI 1710642756

Gavon Marino is an Addiction (Substance Use Disorder) Counselor based in Coburg, OR and is specialized in Addiction (Substance Use Disorder). Gavon Marino practices in Coburg, OR. The NPI Number for Gavon Marino is 1710642756 and holds a License No. (Oregon).

The current practice location address for Gavon Marino is 91150 N Coburg Industrial Way, Coburg, OR and can be reached out via phone at 541-687-1110.

Location: 91150 N Coburg Industrial Way, Coburg, OR, 97408-9512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710642756
Provider Name
Gavon Marino
Credential
Provider Entity Type
Individual
Gender
Male
Address
91150 N Coburg Industrial Way, Coburg, OR, 97408-9512
Phone Number
541-687-1110
Fax Number
Provider Enumeration Date
11/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
91150 N Coburg Industrial Way
City
Coburg
State
Oregon
Zip
97408-9512
Phone Number
541-687-1110
Fax Number
person
Provider Business Mailing Address Details
Address
91150 N Coburg Industrial Way
City
Coburg
State
Oregon
Zip
97408-9512
Phone Number
541-687-1110
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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