person
Justyn Reid Staten, CADC-I,PSS,CRM
Addiction (Substance Use Disorder) Counselor in Prineville, Oregon
NPI 1851027411

Justyn Reid Staten is an Addiction (Substance Use Disorder) Counselor based in Bend, OR and is specialized in Addiction (Substance Use Disorder). Justyn Reid Staten practices in Prineville, OR and has the professional credentials of CADC-I,PSS,CRM. The NPI Number for Justyn Reid Staten is 1851027411 and holds a License No. 21-11-10279 (Oregon).

The current practice location address for Justyn Reid Staten is 1333 Nw 9Th St, Prineville, OR and can be reached out via phone at 541-447-2631.

Location: 1333 Nw 9Th St, Prineville, OR, 97703-3077
person
Provider Profile Details
NPI Number
1851027411
Provider Name
Justyn Reid Staten
Credential
CADC-I,PSS,CRM
Provider Entity Type
Individual
Gender
Male
Address
1333 Nw 9Th St, Prineville, OR, 97703-3077
Phone Number
541-447-2631
Fax Number
Provider Enumeration Date
07/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1333 Nw 9Th St
City
State
Zip
97754-1482
Phone Number
541-447-2631
Fax Number
person
Provider Business Mailing Address Details
Address
1333 Nw 9Th St
City
State
Zip
97754-1482
Phone Number
541-447-2631
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
21-11-10279 (Oregon)
Definition
Definition to come...
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