Individual provider · Type 1 NPI

David Irving Wadsworth, CADC 1

Addiction (Substance Use Disorder) Counselor · Coburg, OR

NPI number 1992200810 Active

Practice location

1 Serenity Ln
Coburg, OR 97408-9350

Call (541) 284-5670 Map

Mailing address

2074 Bonnie Ln
Springfield, OR 97477-6507

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18-03-06 (OR)

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

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About NPI 1992200810

David Irving Wadsworth, CADC 1's National Provider Identifier is 1992200810, issued on Mar 25, 2018. 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 Mar 25, 2018.