Individual provider · Type 1 NPI

Bradley Frank Durham, CADC1R

Addiction (Substance Use Disorder) Counselor · Coburg, OR

NPI number 1154006559 Active

Practice location

1 Serenity Ln
Coburg, OR 97408-9350

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-23-2661 (OR)

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

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About NPI 1154006559

Bradley Frank Durham, CADC1R's National Provider Identifier is 1154006559, issued on Jun 21, 2023. 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 Jun 21, 2023.