Individual provider · Type 1 NPI

Jesse Benjamin Flack, CADC-I

Addiction (Substance Use Disorder) Counselor · Albany, OR

NPI number 1154980308 Active

Practice location

1050 Price Rd SE
Albany, OR 97322-7314

Call (541) 928-9681 Map

Mailing address

PO Box 8549
Coburg, OR 97408-1313

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21-04-10112 (OR)

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

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About NPI 1154980308

Jesse Benjamin Flack, CADC-I's National Provider Identifier is 1154980308, issued on Jun 11, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Albany, OR. The record was last updated on Oct 4, 2021.