Individual provider · Type 1 NPI

Ernesto Vazquez, CADC II, QMHA I, RBT

Addiction (Substance Use Disorder) Counselor · Coburg, OR

NPI number 1528782844 Active

Practice location

1 Serenity Ln
Coburg, OR 97408-9350

Call (541) 687-1110 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XIN-10227061 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X101YA0400X (OR)
Mental Health Counselor 101YM0800X24-QMHA-I-00436 (OR)

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

107 other providers at this address

Other addiction (substance use disorder) counselor providers in Coburg

See all in Coburg →

About NPI 1528782844

Ernesto Vazquez, CADC II, QMHA I, RBT's National Provider Identifier is 1528782844, issued on Sep 29, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coburg, OR. The record was last updated on Jun 24, 2026.