Individual provider · Type 1 NPI
Charles Russell Herdener Jr.
Addiction (Substance Use Disorder) Counselor · Vancouver, WA
NPI number
1982188538
Active
Practice location
6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1982188538
Charles Russell Herdener Jr.'s National Provider Identifier is 1982188538, issued on Sep 19, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vancouver, WA. The record was last updated on Sep 19, 2018.