Individual provider · Type 1 NPI

Andrea Boothby, CADC

Addiction (Substance Use Disorder) Counselor · Redmond, OR

NPI number 1760851455 Active

Practice location

340 NW 5th St Ste 202
Redmond, OR 97756-1869

Call (541) 504-2218 Map

Fax (541) 504-1195

Mailing address

PO Box 1710
Redmond, OR 97756-0516

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15-04-04 (OR)

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

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About NPI 1760851455

Andrea Boothby, CADC's National Provider Identifier is 1760851455, issued on Sep 23, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Redmond, OR. The record was last updated on Sep 23, 2015.