Kellie Jo Dickinson

NPI #1861890634 in Ontario, Oregon

Provider Information

NPI Number
1861890634
Entity Type
Individual
Name
Kellie Jo Dickinson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Dec 10, 2014
Last Updated
Dec 10, 2014

Practice Location

Address
702 SUNSET DR
State
Oregon
ZIP Code
97914-3121
Phone
(541) 889-9167

Specialties & Taxonomy Codes

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

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