Individual provider · Type 1 NPI
Kim M. Bustamante, CADC II, QMHA
Addiction (Substance Use Disorder) Counselor · Salem, OR
NPI number
1124294533
Active
Practice location
3321 Harold Drive
Salem, OR 97305
Fax (503) 363-4820
Mailing address
3321 Harold Dr NE
Salem, OR 97305-1339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1124294533
Kim M. Bustamante, CADC II, QMHA's National Provider Identifier is 1124294533, issued on May 6, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salem, OR. The record was last updated on Nov 16, 2012.