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Kim I Haeg, bs

Counselor, Addiction (Substance Use Disorder) in Salem, OR. Individual provider (NPI-1).

NPI number1255487526
StatusActive
Last updated in NPPESJan 16, 2008

Details

NPI
1255487526
Entity type
Individual (NPI-1)
Name
Ms. Kim I Haeg
Credential
bs
Sex
Female
Sole proprietor
No
Enumeration date
Jan 26, 2007
Last updated
Jan 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes
101Y00000X Counselor––
171M00000X Case Manager/Care Coordinator––

Practice location

3325 Harold Dr Ne
Salem, OR 97305-1339

Phone 503-363-2021

Mailing address

3262 Hollywood Dr Ne
Salem, OR 97305-1932

Phone 503-363-4587

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