MR. Glen Allen Suchanek I, CADCI, CRM

NPI #1588221691 in Oak Grove, Oregon

Provider Information

NPI Number
1588221691
Entity Type
Individual
Name
MR. Glen Allen Suchanek I, CADCI, CRM
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CADCI, CRM
Enumeration Date
May 23, 2019
Last Updated
May 23, 2019

Practice Location

Address
3811 SE CONCORD RD
State
Oregon
ZIP Code
97267-3911
Phone
(971) 269-6812

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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