Most Relevant Information
Provider Data
| NPI Number: | 1003322413 |
| Provider Name: | KARA LONBERG CADC 2 |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 17-07-03 |
Most Important Dates
| Enumeration Date: | 12/20/2017 |
| Last Updated: | 08/31/2021 |
Provider Practice Location
91150 N COBURG INDUSTRIAL WAY
COBURG
OR
974089512
Practice Location Phone/Fax
| Phone: | 5412845652 |
| Fax: | 5414653148 |
Provider Mailing Location
91150 N COBURG INDUSTRIAL WAY
COBURG
OR
974089512
Provider Mailing Phone/Fax
| Phone: | 5412845652 |
| Fax: | 5414653148 |