Individual provider · Type 1 NPI

Mary Jane Iida, CADC II

Addiction (Substance Use Disorder) Counselor · Springfield, OR

NPI number 1275991077 Active

Practice location

1651 Centennial Blvd
Springfield, OR 97477-3363

Call (541) 762-4532 Map

Fax (541) 762-2467

Mailing address

687 Cheshire Ave
Eugene, OR 97402-5060

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18-04-15 (OR)

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

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About NPI 1275991077

Mary Jane Iida, CADC II's National Provider Identifier is 1275991077, issued on Feb 8, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Springfield, OR. The record was last updated on Mar 19, 2019.