Individual provider · Type 1 NPI

Patrick Jon Stephens, CADC I

Addiction (Substance Use Disorder) Counselor · Salem, OR

NPI number 1205038510 Active

Practice location

3737 Portland Rd NE
Salem, OR 97303-2511

Mailing address

359 Owens St S # 18
Salem, OR 97302-4264

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1205038510

Patrick Jon Stephens, CADC I's National Provider Identifier is 1205038510, issued on May 31, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salem, OR. The record was last updated on Jul 8, 2007.