Individual provider · Type 1 NPI

Nicole Pantley

Addiction (Substance Use Disorder) Counselor · Salem, OR

NPI number 1992247316 Active

Practice location

1160 Liberty St SE
Salem, OR 97302-4143

Fax (503) 315-2019

Other practice locations

  • 17 SW Frazer Ave Ste 282, Pendleton, OR 97801-0048 · (541) 278-6330

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 1992247316

Nicole Pantley's National Provider Identifier is 1992247316, issued on Nov 16, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salem, OR. The record was last updated on Dec 23, 2020.