institution
Polk County Alcohol And Drug
Addiction (Substance Use Disorder) Counselor in Dallas, Oregon
NPI 1720013071

Polk County Alcohol And Drug is an Addiction (Substance Use Disorder) Counselor based in Dallas, OR and is specialized in Addiction (Substance Use Disorder). Polk County Alcohol And Drug practices in Dallas, OR. The NPI Number for Polk County Alcohol And Drug is 1720013071 and holds a License No. CERTIFICATE OF APPRO (Oregon).

The current practice location address for Polk County Alcohol And Drug is 182 Sw Academy, Dallas, OR and can be reached out via phone at 503-623-9289 and via fax at 503-831-1726.

Location: 182 Sw Academy, Dallas, OR, 97338-1922
institution
Provider Profile Details
NPI Number
1720013071
Provider Name
Polk County Alcohol And Drug
Credential
Provider Entity Type
Organization
Address
182 Sw Academy, Dallas, OR, 97338-1922
Phone Number
503-623-9289
Fax Number
503-831-1726
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
132001 05 OR
institution
Provider Business Practice Location Address Details
Address
182 Sw Academy
City
State
Zip
97338-1922
Phone Number
503-623-9289
Fax Number
503-831-1726
person
Provider Business Mailing Address Details
Address
182 Sw Academy
City
State
Zip
97338-1922
Phone Number
503-623-9289
Fax Number
503-831-1726
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CERTIFICATE OF APPRO (Oregon)
Definition
Definition to come...
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