Individual provider · Type 1 NPI

Colleen Johnette Prior, CADC 1

Addiction (Substance Use Disorder) Counselor · Coburg, OR

NPI number 1144997511 Active

Practice location

91150 N Coburg Industrial Way
Coburg, OR 97408-9512

Mailing address

PO Box 8549
Coburg, OR 97408-1313

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20-02-23 (OR)

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

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About NPI 1144997511

Colleen Johnette Prior, CADC 1's National Provider Identifier is 1144997511, issued on Aug 24, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coburg, OR. The record was last updated on Aug 24, 2021.