person
Jacob Thomas Vida
Addiction (Substance Use Disorder) Counselor in Salem, Oregon
NPI 1164996278

Jacob Thomas Vida is an Addiction (Substance Use Disorder) Counselor based in Salem, OR and is specialized in Addiction (Substance Use Disorder). Jacob Thomas Vida practices in Salem, OR. The NPI Number for Jacob Thomas Vida is 1164996278 and holds a License No. (Oregon).

The current practice location address for Jacob Thomas Vida is 3321 Harold Dr Ne, Salem, OR and can be reached out via phone at 503-399-5597.

Location: 3321 Harold Dr Ne, Salem, OR, 97301-3921
person
Provider Profile Details
NPI Number
1164996278
Provider Name
Jacob Thomas Vida
Credential
Provider Entity Type
Individual
Gender
Male
Address
3321 Harold Dr Ne, Salem, OR, 97301-3921
Phone Number
503-399-5597
Fax Number
Provider Enumeration Date
01/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3321 Harold Dr Ne
City
State
Zip
97305-1339
Phone Number
503-399-5597
Fax Number
person
Provider Business Mailing Address Details
Address
3321 Harold Dr Ne
City
State
Zip
97305-1339
Phone Number
503-399-5597
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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