Individual provider · Type 1 NPI

Amber Diederich, CADC I, CRM

Addiction (Substance Use Disorder) Counselor · La Grande, OR

NPI number 1508310384 Active

Practice location

1501 6th St
La Grande, OR 97850-2419

Call (541) 962-0162 Map

Mailing address

1101 I Ave
La Grande, OR 97850-2043

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000X16-CRM-141 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17-06-28 (OR)

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

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About NPI 1508310384

Amber Diederich, CADC I, CRM's National Provider Identifier is 1508310384, issued on Aug 9, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in La Grande, OR. The record was last updated on Jul 18, 2017.