Individual provider · Type 1 NPI

Adrienne Wicker, CADC-R, CGAC II, CRM

Addiction (Substance Use Disorder) Counselor · Roseburg, OR

NPI number 1215549472 Active

Practice location

621 W Madrone St
Roseburg, OR 97470-3090

Call (541) 672-2691 Map

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1215549472

Adrienne Wicker, CADC-R, CGAC II, CRM's National Provider Identifier is 1215549472, issued on Aug 19, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseburg, OR. The record was last updated on Aug 28, 2023.