Individual provider · Type 1 NPI

Geramie Mark McCormick, CRM II, CADC-R

Addiction (Substance Use Disorder) Counselor · Coburg, OR

NPI number 1003686304 Active

Practice location

91150 N Coburg Industrial Way
Coburg, OR 97408-9512

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-23-2430 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003686304

Geramie Mark McCormick, CRM II, CADC-R's National Provider Identifier is 1003686304, issued on Jan 8, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coburg, OR. The record was last updated on Jan 8, 2024.