Individual provider · Type 1 NPI

Jesse Carmichael, CRM, CADC R

Addiction (Substance Use Disorder) Counselor · La Grande, OR

NPI number 1699474387 Active

Practice location

1501 6th St
La Grande, OR 97850-2419

Call (541) 962-0162 Map

Mailing address

PO Box 882
Pendleton, OR 97801-0882

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000X23-CRM-1603 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25-02-11409 (OR)

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

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About NPI 1699474387

Jesse Carmichael, CRM, CADC R's National Provider Identifier is 1699474387, issued on Mar 1, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in La Grande, OR. The record was last updated on Jan 22, 2026.