Individual provider · Type 1 NPI

Kay Tanner, CADC L

Addiction (Substance Use Disorder) Counselor · Roseburg, OR

NPI number 1467905489 Active

Practice location

2575 NW Kline St
Roseburg, OR 97471-8827

Call (541) 673-3504 Map

Fax (541) 673-4724

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12-09-48 (OR)

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

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About NPI 1467905489

Kay Tanner, CADC L's National Provider Identifier is 1467905489, issued on Jul 26, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseburg, OR. The record was last updated on Jul 26, 2016.