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Mr. Vernon Rose JR., CADCII
Addiction (Substance Use Disorder) Counselor in Eugene, Oregon
NPI 1356872477

Vernon Rose JR. is an Addiction (Substance Use Disorder) Counselor based in Eugene, OR and is specialized in Addiction (Substance Use Disorder). Vernon Rose JR. practices in Eugene, OR and has the professional credentials of CADCII. The NPI Number for Vernon Rose JR. is 1356872477 and holds a License No. 07-09-64 (Oregon).

The current practice location address for Vernon Rose JR. is 4211 W 11Th Ave, Eugene, OR and can be reached out via phone at 541-485-1577 and via fax at 541-242-2853.

Location: 4211 W 11Th Ave, Eugene, OR, 97402-5435
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Provider Profile Details
NPI Number
1356872477
Provider Name
Vernon Rose JR.
Credential
CADCII
Provider Entity Type
Individual
Gender
Male
Address
4211 W 11Th Ave, Eugene, OR, 97402-5435
Phone Number
541-485-1577
Fax Number
541-242-2853
Provider Enumeration Date
03/21/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07-09-64 01 OR CERTIFIED ALCOHOL AND DRUG COUNSELOR LEVEL II
500730386 05 OR
institution
Provider Business Practice Location Address Details
Address
4211 W 11Th Ave
City
State
Zip
97402-5435
Phone Number
541-485-1577
Fax Number
541-242-2853
person
Provider Business Mailing Address Details
Address
4211 W 11Th Ave
City
State
Zip
97402-5435
Phone Number
541-485-1577
Fax Number
541-242-2853
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
07-09-64 (Oregon)
Definition
Definition to come...
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