Individual provider · Type 1 NPI

Thomas Dolezal

Addiction (Substance Use Disorder) Counselor · Bend, OR

NPI number 1558666115 Active

Practice location

2577 NE Courtney Dr
Bend, OR 97701-7638

Call (541) 322-7500 Map

Fax (541) 322-7565

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 1558666115

Thomas Dolezal's National Provider Identifier is 1558666115, issued on Jan 12, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bend, OR. The record was last updated on Jan 12, 2011.