Individual provider · Type 1 NPI
Amber Lee Larson
Addiction (Substance Use Disorder) Counselor · Coburg, OR
NPI number
1235835208
Active
Practice location
1 Serenity Lane, 91150 Coburg Industrial Way,
Coburg, OR 97408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | T-22-2226 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1235835208
Amber Lee Larson's National Provider Identifier is 1235835208, issued on Feb 1, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coburg, OR. The record was last updated on Feb 1, 2023.