Individual provider · Type 1 NPI

Bryan Dewitt, CRM

Addiction (Substance Use Disorder) Counselor · La Grande, OR

NPI number 1124851910 Active

Practice location

2301 Cove Ave
La Grande, OR 97850-3906

Call (541) 962-8800 Map

Fax (541) 963-5272

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-25-6031 (OR)
Peer Specialist 175T00000XNone listed

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

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About NPI 1124851910

Bryan Dewitt, CRM's National Provider Identifier is 1124851910, issued on Aug 26, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in La Grande, OR. The record was last updated on Mar 4, 2026.