Individual provider · Type 1 NPI

Scott Stacey, CRM

Addiction (Substance Use Disorder) Counselor · Redmond, OR

NPI number 1467988345 Active

Practice location

340 NW 5th St, Box 1710
Redmond, OR 97756-1869

Fax (541) 504-1195

Mailing address

461 NE Greenwood Ave
Bend, OR 97701-4607

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17-CRM-081 (OR)

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

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About NPI 1467988345

Scott Stacey, CRM's National Provider Identifier is 1467988345, issued on May 11, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Redmond, OR. The record was last updated on May 11, 2017.