Individual provider · Type 1 NPI
Carol L. Stephens, CADC I
Addiction (Substance Use Disorder) Counselor · Grants Pass, OR
NPI number
1649649211
Active
Practice location
109 N.e. Manzanita Ave
Grants Pass, OR 97526-1400
Fax (541) 471-2679
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15-01-12 (OR) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1649649211
Carol L. Stephens, CADC I's National Provider Identifier is 1649649211, issued on Sep 24, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grants Pass, OR. The record was last updated on Oct 10, 2019.