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Jack Charles Skiles
Addiction (Substance Use Disorder) Counselor in Dallas, Oregon
NPI 1902130511

Jack Charles Skiles is an Addiction (Substance Use Disorder) Counselor based in Dallas, OR and is specialized in Addiction (Substance Use Disorder). Jack Charles Skiles practices in Dallas, OR. The NPI Number for Jack Charles Skiles is 1902130511 and holds a License No. (Oregon).

The current practice location address for Jack Charles Skiles is 182 S.w. Academy St., Dallas, OR and can be reached out via phone at 503-831-5971 and via fax at 503-831-1726.

Location: 182 S.w. Academy St., Dallas, OR, 97338-1922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902130511
Provider Name
Jack Charles Skiles
Credential
Provider Entity Type
Individual
Gender
Male
Address
182 S.w. Academy St., Dallas, OR, 97338-1922
Phone Number
503-831-5971
Fax Number
503-831-1726
Provider Enumeration Date
09/29/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
182 S.w. Academy St.
City
Dallas
State
Oregon
Zip
97338-1922
Phone Number
503-831-5971
Fax Number
503-831-1726
person
Provider Business Mailing Address Details
Address
182 S.w. Academy St.
City
Dallas
State
Oregon
Zip
97338-1922
Phone Number
503-831-5971
Fax Number
503-831-1726
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(Oregon)
Definition
Definition to come...
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