Individual provider · Type 1 NPI

Jack Lopez, CADCII

Addiction (Substance Use Disorder) Counselor · Bend, OR

NPI number 1750858858 Active

Practice location

155 NE Revere Ave Ste 150
Bend, OR 97701-4147

Call (541) 617-4544 Map

Fax (541) 749-2126

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16-10-11 (OR)

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

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About NPI 1750858858

Jack Lopez, CADCII's National Provider Identifier is 1750858858, issued on Oct 26, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bend, OR. The record was last updated on Oct 26, 2018.