Individual provider · Type 1 NPI

Reatha Renee Forrester, CADC 1

Addiction (Substance Use Disorder) Counselor · Prineville, OR

NPI number 1831463454 Active

Practice location

1333 NW 9th St
Prineville, OR 97754-1482

Fax (541) 447-2616

Mailing address

651 NW 2nd St
Prineville, OR 97754-1711

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1831463454

Reatha Renee Forrester, CADC 1's National Provider Identifier is 1831463454, issued on Feb 29, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Prineville, OR. The record was last updated on Feb 29, 2012.