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Nichole Iness
Addiction (Substance Use Disorder) Counselor in Salem, Oregon
NPI 1730750050

Nichole Iness is an Addiction (Substance Use Disorder) Counselor based in Keizer, OR and is specialized in Addiction (Substance Use Disorder). Nichole Iness practices in Salem, OR. The NPI Number for Nichole Iness is 1730750050 and holds a License No. T-20-344 (Oregon).

The current practice location address for Nichole Iness is 465 Commercial St Ne # 150, Salem, OR and can be reached out via phone at 503-362-2780.

Location: 465 Commercial St Ne # 150, Salem, OR, 97307-0674
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Provider Profile Details
NPI Number
1730750050
Provider Name
Nichole Iness
Credential
Provider Entity Type
Individual
Gender
Female
Address
465 Commercial St Ne # 150, Salem, OR, 97307-0674
Phone Number
503-362-2780
Fax Number
Provider Enumeration Date
07/07/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T-20-344 01 OR MHACBO
institution
Provider Business Practice Location Address Details
Address
465 Commercial St Ne # 150
City
State
Zip
97301-3414
Phone Number
503-362-2780
Fax Number
person
Provider Business Mailing Address Details
Address
465 Commercial St Ne # 150
City
State
Zip
97301-3414
Phone Number
503-362-2780
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-20-344 (Oregon)
Definition
Definition to come...
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