person
Korben J Chesnut-petry, CADC1
Addiction (Substance Use Disorder) Counselor in Salem, Oregon
NPI 1841805959

Korben J Chesnut-petry is an Addiction (Substance Use Disorder) Counselor based in Salem, OR and is specialized in Addiction (Substance Use Disorder). Korben J Chesnut-petry practices in Salem, OR and has the professional credentials of CADC1. The NPI Number for Korben J Chesnut-petry is 1841805959 and holds a License No. 18-02-03 (Oregon).

The current practice location address for Korben J Chesnut-petry is 1325 Commercial St Se, Salem, OR and can be reached out via phone at 971-301-9574.

Location: 1325 Commercial St Se, Salem, OR, 97302-4143
person
Provider Profile Details
NPI Number
1841805959
Provider Name
Korben J Chesnut-petry
Credential
CADC1
Provider Entity Type
Individual
Gender
Male
Address
1325 Commercial St Se, Salem, OR, 97302-4143
Phone Number
971-301-9574
Fax Number
Provider Enumeration Date
09/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1325 Commercial St Se
City
State
Zip
97302-4205
Phone Number
971-301-9574
Fax Number
person
Provider Business Mailing Address Details
Address
1325 Commercial St Se
City
State
Zip
97302-4205
Phone Number
971-301-9574
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
18-02-03 (Oregon)
Definition
Definition to come...
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