Individual provider · Type 1 NPI

Jacob Ray

Addiction (Substance Use Disorder) Counselor · Coburg, OR

NPI number 1528814902 Active

Practice location

1 Serenity Ln
Coburg, OR 97408-9350

Call (541) 366-6293 Map

Mailing address

2924 Stark St
Eugene, OR 97404-1843

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-24-3929 (OR)

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

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About NPI 1528814902

Jacob Ray's National Provider Identifier is 1528814902, issued on Apr 26, 2024. 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 Apr 26, 2024.