Individual provider · Type 1 NPI

Justyn Reid Staten, CADC-I, PSS, CRM

Addiction (Substance Use Disorder) Counselor · Prineville, OR

NPI number 1851027411 Active

Practice location

1333 NW 9th St
Prineville, OR 97754-1482

Call (541) 447-2631 Map

Mailing address

1356 NW Davenport Ave
Bend, OR 97703-3077

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21-11-10279 (OR)

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

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About NPI 1851027411

Justyn Reid Staten, CADC-I, PSS, CRM's National Provider Identifier is 1851027411, issued on Jul 26, 2022. 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 Sep 15, 2022.