Individual provider · Type 1 NPI

Codi Sandra Gossman, CADC

Addiction (Substance Use Disorder) Counselor · Medford, OR

NPI number 1700610516 Active

Practice location

300 W Main St
Medford, OR 97501-2756

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

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 1700610516

Codi Sandra Gossman, CADC's National Provider Identifier is 1700610516, issued on Aug 26, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medford, OR. The record was last updated on Nov 15, 2024.