Mr. John Walter Lee IV
Mr. John Walter Lee IV is an Addiction (Substance Use Disorder) Counselor in Coburg, Oregon. Licensed in Oregon. Registered with an NPI since 2022.
- Licensed in
- OR
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
1 Serenity LnCoburg, OR 97408-9350
Phone: (541) 204-2276
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence R8780 (OR) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence T-22-2191 (OR) |
Record details
| NPI number | 1629780770 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 20, 2022 |
| Last updated in NPPES | May 1, 2024 |
| Certification date | May 1, 2024 |
Other providers in Coburg
-
Hannah Kreeger
1 Serenity Ln, Coburg, OR 97408-9350 · (541) 687-1110
-
Dallas Langley
91150 N Coburg Industrial Way, Coburg, OR 97408-9512 · (541) 687-1110
-
Amber Lee Larson
1 Serenity Lane 91150 Coburg Industrial Way, Coburg, OR 97408 · (541) 687-1110
-
Kimberly Jean Lashley
91150 Industrial Way, Coburg, OR 97408 · (541) 687-1110
-
Theresa Mae Leonard
1 Serenity Ln, Coburg, OR 97408-9350 · (541) 653-6622
-
Miss. Jennifer Christina Lisk, BSW, CADC-R
1 Serenity Ln, Coburg, OR 97408-9350 · (541) 204-2704
-
Tanja Desalles Looker, CADC1
91150 N Coburg Industrial Way, Coburg, OR 97408 · (541) 284-5709
-
Mason Anthony Marin, CADC-R, CRM1
1 Serenity Ln, Coburg, OR 97408-9350 · (541) 606-3308