Individual provider · Type 1 NPI
Susan Rae Masog, BS, CADC1
Addiction (Substance Use Disorder) Counselor · Lebanon, OR
NPI number
1225207244
Active
Practice location
740 W Airway Rd
Lebanon, OR 97355-1337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 04-11-19 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1225207244
Susan Rae Masog, BS, CADC1's National Provider Identifier is 1225207244, issued on Feb 23, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lebanon, OR. The record was last updated on Feb 23, 2008.