Individual provider · Type 1 NPI

Tara Mahoney, CADC II

Addiction (Substance Use Disorder) Counselor · Pendleton, OR

NPI number 1073987046 Active

Practice location

920 SW Frazer Ave
Pendleton, OR 97801-2800

Fax (541) 215-1021

Mailing address

920 SW Frazer Ave # 219
Pendleton, OR 97801-2800

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X00-11-47 (OR)

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

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About NPI 1073987046

Tara Mahoney, CADC II's National Provider Identifier is 1073987046, issued on Nov 13, 2015. 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 Nov 13, 2015.