Individual provider · Type 1 NPI
Jodee Ridderbusch, CADC I
Addiction (Substance Use Disorder) Counselor · Tillamook, OR
NPI number
1043755291
Active
Practice location
906 Main Ave
Tillamook, OR 97141-3816
Fax (503) 815-1870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CADC1#120659 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1043755291
Jodee Ridderbusch, CADC I's National Provider Identifier is 1043755291, issued on Dec 27, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tillamook, OR. The record was last updated on Dec 27, 2016.