Individual provider · Type 1 NPI

Amanda Ruth Dougherty, CADCII, QMHA, CGAC

Addiction (Substance Use Disorder) Counselor · Eugene, OR

NPI number 1356920284 Active

Practice location

350 E 11th Ave
Eugene, OR 97401-3246

Call (541) 683-1641 Map

Mailing address

341 E 12th Ave
Eugene, OR 97401-3212

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X24-01-20380 (OR)
Mental Health Counselor 101YM0800X24-QMHA-I-004720 (OR)

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

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About NPI 1356920284

Amanda Ruth Dougherty, CADCII, QMHA, CGAC's National Provider Identifier is 1356920284, issued on Apr 7, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eugene, OR. The record was last updated on Jun 15, 2026.