Individual provider · Type 1 NPI

Kathryn L. Buckwald, B.S., CADC II, CGACI

Addiction (Substance Use Disorder) Counselor · North Bend, OR

NPI number 1184083750 Active

Practice location

400 Virginia Ave, #201
North Bend, OR 97459-2709

Call (541) 751-0357 Map

Fax (541) 751-9985

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X95-10-68 (OR)

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

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About NPI 1184083750

Kathryn L. Buckwald, B.S., CADC II, CGACI's National Provider Identifier is 1184083750, issued on Feb 11, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in North Bend, OR. The record was last updated on Feb 11, 2016.