Individual provider · Type 1 NPI

Thomas Wayne Sorrells Jr., CSWA

Addiction (Substance Use Disorder) Counselor · Roseburg, OR

NPI number 1962861401 Active

Practice location

548 SE Jackson St
Roseburg, OR 97470-2709

Call (541) 672-2691 Map

Fax (541) 673-5642

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

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 1962861401

Thomas Wayne Sorrells Jr., CSWA's National Provider Identifier is 1962861401, issued on Feb 12, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseburg, OR. The record was last updated on Feb 12, 2016.