Individual provider · Type 1 NPI

Lori Wilson, CADC I

Addiction (Substance Use Disorder) Counselor · Coburg, OR

NPI number 1841742640 Active

Practice location

91150 Coburg Industrial Way
Coburg, OR 97408

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15-08-18 (OR)

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

4 other providers at this address

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About NPI 1841742640

Lori Wilson, CADC I's National Provider Identifier is 1841742640, issued on Oct 27, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coburg, OR. The record was last updated on Oct 27, 2016.