Individual provider · Type 1 NPI
Kimberly Jean Lashley
Addiction (Substance Use Disorder) Counselor · Coburg, OR
NPI number
1679164073
Active
Practice location
91150 Industrial Way
Coburg, OR 97408
Mailing address
34611 Garoutte Rd
Cottage Grove, OR 97424-8536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | T-21-556 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1679164073
Kimberly Jean Lashley's National Provider Identifier is 1679164073, issued on Jan 28, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coburg, OR. The record was last updated on Jan 28, 2021.