Individual provider · Type 1 NPI
Lori Brock Stewart
Addiction (Substance Use Disorder) Counselor · Medford, OR
NPI number
1487169751
Active
Practice location
503 Airport Rd Ste 101
Medford, OR 97504-4159
Fax (541) 200-2948
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | PROFESSIONALLICENSE |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1487169751
Lori Brock Stewart's National Provider Identifier is 1487169751, issued on Dec 8, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medford, OR. The record was last updated on Nov 28, 2023.