Organization · Type 2 NPI
Polk County Alcohol and Drug
Addiction (Substance Use Disorder) Counselor · Dallas, OR
NPI number
1720013071
Active
Practice location
182 SW Academy, Suite #304
Dallas, OR 97338-1922
Fax (503) 831-1726
Mailing address
182 SW Academy St, Suite #310 Polk County Alcohol And Drug
Dallas, OR 97338-1922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CERTIFICATE OF APPRO (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Dallas
About NPI 1720013071
Polk County Alcohol and Drug's National Provider Identifier is 1720013071, issued on Jul 12, 2006. 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 Aug 22, 2020.