Individual provider · Type 1 NPI

Kellie Jo Dickinson

Addiction (Substance Use Disorder) Counselor · Ontario, OR

NPI number 1861890634 Active

Practice location

702 Sunset Dr
Ontario, OR 97914-3121

Call (541) 889-9167 Map

Fax (541) 889-7873

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1861890634

Kellie Jo Dickinson's National Provider Identifier is 1861890634, issued on Dec 10, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ontario, OR. The record was last updated on Dec 10, 2014.