Individual provider · Type 1 NPI

Emmitt Adair, QMHP, CADC III, SAP

Addiction (Substance Use Disorder) Counselor · Coburg, OR

NPI number 1033776190 Active

Practice location

1 Serenity Ln
Coburg, OR 97408-9350

Fax (541) 687-9041

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1033776190

Emmitt Adair, QMHP, CADC III, SAP's National Provider Identifier is 1033776190, issued on May 23, 2019. 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 Aug 6, 2025.