Individual provider · Type 1 NPI

Daniel Etchison, CIT

Addiction (Substance Use Disorder) Counselor · Medford, OR

NPI number 1528569696 Active

Practice location

221 W Main St
Medford, OR 97501-2728

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1528569696

Daniel Etchison, CIT's National Provider Identifier is 1528569696, issued on Feb 23, 2018. 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 May 2, 2019.