Individual provider · Type 1 NPI

Leona Ike, CRM

Addiction (Substance Use Disorder) Counselor · Madras, OR

NPI number 1255832309 Active

Practice location

850 SW 4th St
Madras, OR 97741-9628

Call (541) 475-6575 Map

Fax (541) 504-1195

Mailing address

PO Box 1710
Redmond, OR 97756-0516

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18-CRM-044 (OR)

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

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About NPI 1255832309

Leona Ike, CRM's National Provider Identifier is 1255832309, issued on Feb 23, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madras, OR. The record was last updated on Feb 23, 2018.