Individual provider · Type 1 NPI

Shanon Breitwieser, CADC R

Addiction (Substance Use Disorder) Counselor · Bend, OR

NPI number 1184435737 Active

Practice location

23 NW Greenwood Ave
Bend, OR 97703-2078

Call (541) 383-4293 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-23-3191 (OR)

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

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About NPI 1184435737

Shanon Breitwieser, CADC R's National Provider Identifier is 1184435737, issued on Jan 14, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bend, OR. The record was last updated on Jan 14, 2025.