Organization · Type 2 NPI

Serenity Lane

Addiction (Substance Use Disorder) Counselor · Roseburg, OR

NPI number 1073060182 Active

Practice location

2575 NW Kline St
Roseburg, OR 97471-8827

Call (541) 673-3504 Map

Fax (541) 673-4724

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13-12-59 (OR)

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

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About NPI 1073060182

Serenity Lane's National Provider Identifier is 1073060182, issued on Sep 7, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseburg, OR. The record was last updated on Sep 7, 2016.