Individual provider · Type 1 NPI

Gary Allen Cochran, CADC II QMHA

Addiction (Substance Use Disorder) Counselor · Dallas, OR

NPI number 1629256151 Active

Practice location

185 S.w. Academy St.
Dallas, OR 97338-1996

Call (503) 585-3012 Map

Fax (503) 585-3012

Mailing address

182 SW Academy St
Dallas, OR 97338-1996

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X03-11-08 (OR)

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

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About NPI 1629256151

Gary Allen Cochran, CADC II QMHA's National Provider Identifier is 1629256151, issued on Feb 6, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dallas, OR. The record was last updated on Oct 24, 2024.