VALLEY PROFESSIONAL COUNSELING INC NPI 1063525087

NPI Information

NPI: 1063525087
Provider Name: VALLEY PROFESSIONAL COUNSELING INC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
750 HAWTHORNE AVE NE
SALEM, OR
ZIP 97301
Phone: (503) 370-9200
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VALLEY PROFESSIONAL COUNSELING INC is an addiction (substance use disorder) counselor in Salem, OR. VALLEY PROFESSIONAL COUNSELING INC NPI is 1063525087. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

750 HAWTHORNE AVE NE
SALEM, OR
ZIP 97301-675
Phone: (503) 370-9200
Fax: (503) 370-9210

The provider's authorized official is Eric Samuel Davis .
The authorized official title is Director and has the following contact phone number (503) 370-9200.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	279	OREGON	Yes
2	251S00000X	Community/Behavioral Health			OREGON	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	279	OTHER	OREGON	ALCOHOL/OUTPATIENT
2	028317	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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