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HEIDI HICINBOTHOM

Peer Specialist

NPI: 1023534252Individual

Specialties, Licenses & Credentials

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

T-21-874(OR)

Peer Specialist

Code: 175T00000X

THW000001683(OR)

Contact & Hours

Address
9605 GRAND RONDE RD
GRAND RONDE, OR 97347

Quick Facts

NPI
1023534252
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
3
Locations
1

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