Individual provider · Type 1 NPI

Larisa Ivana Czernowski

Addiction (Substance Use Disorder) Counselor · Roseburg, OR

NPI number 1215672837 Active

Practice location

2575 NW Kline St
Roseburg, OR 97471-8827

Call (541) 673-3504 Map

Mailing address

1455 SE Main St
Roseburg, OR 97470-4213

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-22-1577 (OR)

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

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About NPI 1215672837

Larisa Ivana Czernowski's National Provider Identifier is 1215672837, issued on Apr 28, 2022. 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 Apr 28, 2022.