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Amy Drake
Addiction (Substance Use Disorder) Counselor in Coburg, Oregon
NPI 1316614191

Amy Drake is an Addiction (Substance Use Disorder) Counselor based in Eugene, OR and is specialized in Addiction (Substance Use Disorder). Amy Drake practices in Coburg, OR. The NPI Number for Amy Drake is 1316614191 and holds a License No. (Oregon).

The current practice location address for Amy Drake is 1 Serenity Ln, Coburg, OR and can be reached out via phone at 541-687-1110.

Location: 1 Serenity Ln, Coburg, OR, 97401-1562
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316614191
Provider Name
Amy Drake
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Serenity Ln, Coburg, OR, 97401-1562
Phone Number
541-687-1110
Fax Number
Provider Enumeration Date
08/27/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T-21-1008 05 OR
institution
Provider Business Practice Location Address Details
Address
1 Serenity Ln
City
Coburg
State
Oregon
Zip
97408-9350
Phone Number
541-687-1110
Fax Number
person
Provider Business Mailing Address Details
Address
1 Serenity Ln
City
Coburg
State
Oregon
Zip
97408-9350
Phone Number
541-687-1110
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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