Individual provider · Type 1 NPI

Sharon I. Boothe, CADC I

Addiction (Substance Use Disorder) Counselor · Pendleton, OR

NPI number 1043967573 Active

Practice location

46314 Timine Way
Pendleton, OR 97801-9417

Call (541) 966-9830 Map

Fax (541) 240-8754

Mailing address

PO Box 160
Pendleton, OR 97801-0160

Specialties and licenses

TaxonomyCodeLicense
Prevention Professional 405300000X19-07-24 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19-07-24 (OR)

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

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About NPI 1043967573

Sharon I. Boothe, CADC I's National Provider Identifier is 1043967573, issued on Mar 4, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pendleton, OR. The record was last updated on Mar 17, 2023.