person
Mr. David Irving Wadsworth, CADC1
Addiction (Substance Use Disorder) Counselor in Coburg, Oregon
NPI 1992200810

David Irving Wadsworth is an Addiction (Substance Use Disorder) Counselor based in Springfield, OR and is specialized in Addiction (Substance Use Disorder). David Irving Wadsworth practices in Coburg, OR and has the professional credentials of CADC1. The NPI Number for David Irving Wadsworth is 1992200810 and holds a License No. 18-03-06 (Oregon).

The current practice location address for David Irving Wadsworth is 1 Serenity Ln, Coburg, OR and can be reached out via phone at 541-284-5670.

Location: 1 Serenity Ln, Coburg, OR, 97477-6507
person
Provider Profile Details
NPI Number
1992200810
Provider Name
David Irving Wadsworth
Credential
CADC1
Provider Entity Type
Individual
Gender
Male
Address
1 Serenity Ln, Coburg, OR, 97477-6507
Phone Number
541-284-5670
Fax Number
Provider Enumeration Date
03/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Serenity Ln
City
State
Zip
97408-9350
Phone Number
541-284-5670
Fax Number
person
Provider Business Mailing Address Details
Address
1 Serenity Ln
City
State
Zip
97408-9350
Phone Number
541-284-5670
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
18-03-06 (Oregon)
Definition
Definition to come...
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