Individual provider · Type 1 NPI

Lawrence Squiemphen, CADC I

Addiction (Substance Use Disorder) Counselor · Madras, OR

NPI number 1669948857 Active

Practice location

125 SW C St
Madras, OR 97741-1458

Call (541) 306-4566 Map

Fax (541) 320-9005

Mailing address

1435 NE 4th St Ste B
Bend, OR 97701-4268

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-17-163 (OR)

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

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About NPI 1669948857

Lawrence Squiemphen, CADC I's National Provider Identifier is 1669948857, issued on Oct 16, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madras, OR. The record was last updated on Mar 13, 2019.