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Amber Diederich, CADCI,CRM
Addiction (Substance Use Disorder) Counselor in La Grande, Oregon
NPI 1508310384

Amber Diederich is an Addiction (Substance Use Disorder) Counselor based in La Grande, OR and is specialized in Addiction (Substance Use Disorder). Amber Diederich practices in La Grande, OR and has the professional credentials of CADCI,CRM. The NPI Number for Amber Diederich is 1508310384 and holds a License No. 16-CRM-141 (Oregon).

The current practice location address for Amber Diederich is 1501 6Th St, La Grande, OR and can be reached out via phone at 541-962-0162.

Location: 1501 6Th St, La Grande, OR, 97850-2043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508310384
Provider Name
Amber Diederich
Credential
CADCI,CRM
Provider Entity Type
Individual
Gender
Female
Address
1501 6Th St, La Grande, OR, 97850-2043
Phone Number
541-962-0162
Fax Number
Provider Enumeration Date
08/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1501 6Th St
City
La Grande
State
Oregon
Zip
97850-2419
Phone Number
541-962-0162
Fax Number
person
Provider Business Mailing Address Details
Address
1501 6Th St
City
La Grande
State
Oregon
Zip
97850-2419
Phone Number
541-962-0162
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.
17-06-28 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
16-CRM-141 (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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