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Melody Sue Nova, CRM
Addiction (Substance Use Disorder) Counselor in Salem, Oregon
NPI 1316453186

Melody Sue Nova is an Addiction (Substance Use Disorder) Counselor based in Salem, OR and is specialized in Addiction (Substance Use Disorder). Melody Sue Nova practices in Salem, OR and has the professional credentials of CRM. The NPI Number for Melody Sue Nova is 1316453186 and holds a License No. 17-CRM-110 (Oregon).

The current practice location address for Melody Sue Nova is 2045 Silverton Rd Ne Ste A, Salem, OR and can be reached out via phone at 503-576-4660 and via fax at 503-361-2688.

Location: 2045 Silverton Rd Ne Ste A, Salem, OR, 97301-0100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316453186
Provider Name
Melody Sue Nova
Credential
CRM
Provider Entity Type
Individual
Gender
Female
Address
2045 Silverton Rd Ne Ste A, Salem, OR, 97301-0100
Phone Number
503-576-4660
Fax Number
503-361-2688
Provider Enumeration Date
12/15/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
263634042 05 OR
institution
Provider Business Practice Location Address Details
Address
2045 Silverton Rd Ne Ste A
City
Salem
State
Oregon
Zip
97301-0100
Phone Number
503-576-4660
Fax Number
503-361-2688
person
Provider Business Mailing Address Details
Address
2045 Silverton Rd Ne Ste A
City
Salem
State
Oregon
Zip
97301-0100
Phone Number
503-576-4660
Fax Number
503-361-2688
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
T-20-340 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
17-CRM-110 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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