Jennifer Lynne Deatherage, CADCIINTERN
Jennifer Lynne Deatherage, CADCIINTERN is an Addiction (Substance Use Disorder) Counselor in Klamath Falls, Oregon. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
2210 N Eldorado AveKlamath Falls, OR 97601-6418
Phone: (541) 883-1030
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1194363671 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CADCIINTERN |
| Sole proprietor | No |
| NPI enumerated | December 16, 2019 |
| Last updated in NPPES | January 10, 2020 |
| Certification date | January 10, 2020 |
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