Individual provider · Type 1 NPI
Stacey Nichol Radinovich, CADC-R
Addiction (Substance Use Disorder) Counselor · Burns, OR
NPI number
1730817388
Active
Practice location
348 W Adams St
Burns, OR 97720-1710
Fax (541) 573-8378
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1730817388
Stacey Nichol Radinovich, CADC-R's National Provider Identifier is 1730817388, issued on Aug 11, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Burns, OR. The record was last updated on Aug 11, 2022.