Individual provider · Type 1 NPI
Travis Shaddy
Addiction (Substance Use Disorder) Counselor · Coburg, OR
NPI number
1174449201
Active
Practice location
1 Serenity Ln
Coburg, OR 97408-9350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | T-25-6129 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
107 other providers at this address
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Other addiction (substance use disorder) counselor providers in Coburg
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- Mason Anthony Marin, CADC-R, CRM 1Addiction (Substance Use Disorder) Counselor Coburg, OR NPI 1033958905
- Jeffrey Hugh WrightAddiction (Substance Use Disorder) Counselor Coburg, OR NPI 1043970585
- Jenae Hulsey Katelyn HulseyAddiction (Substance Use Disorder) Counselor Coburg, OR NPI 1063132421
- Heatherann Charlene Helms, CADCRAddiction (Substance Use Disorder) Counselor Coburg, OR NPI 1104524396
- Christopher BowlingAddiction (Substance Use Disorder) Counselor Coburg, OR NPI 1114632569
About NPI 1174449201
Travis Shaddy's National Provider Identifier is 1174449201, issued on Jun 24, 2026. 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 24, 2026.