Individual provider · Type 1 NPI

Tasha Anne Walter, CADC 1, CRM, PSS

Addiction (Substance Use Disorder) Counselor · Coos Bay, OR

NPI number 1114499324 Active

Practice location

155 S Empire Blvd
Coos Bay, OR 97420-3374

Fax (541) 756-2111

Mailing address

1942 Sheridan Ave
North Bend, OR 97459-3416

Other practice locations

  • 1741 Newmark Ave, Coos Bay, OR 97420-4704 · (541) 756-3111

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X19-QMHA-I-00761 (OR)
Peer Specialist 175T00000X11-CRM-131 (OR)
Peer Specialist 175T00000XTHW000002674 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12-12-62 (OR)

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

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About NPI 1114499324

Tasha Anne Walter, CADC 1, CRM, PSS's National Provider Identifier is 1114499324, issued on Dec 28, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coos Bay, OR. The record was last updated on Apr 15, 2019.