Individual provider · Type 1 NPI

Charles Robert Malley, CADC I

Addiction (Substance Use Disorder) Counselor · Bend, OR

NPI number 1760723506 Active

Practice location

461 NE Greenwood Ave
Bend, OR 97701-4607

Fax (541) 504-1195

Mailing address

PO Box 1710
Redmond, OR 97756-0516

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11-06-47 (OR)

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

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About NPI 1760723506

Charles Robert Malley, CADC I's National Provider Identifier is 1760723506, issued on Mar 4, 2013. 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 Mar 4, 2013.