AMBER DIEDERICH CADC I CRM NPI 1508310384

NPI Information

NPI: 1508310384
Provider Name: AMBER DIEDERICH, CADC I, CRM
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1501 6TH ST
LA GRANDE, OR
ZIP 97850
Phone: (541) 962-0162
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Amber Diederich, CADC I, CRM is an addiction (substance use disorder) counselor in La Grande, OR. Amber Diederich, CADC I, CRM NPI is 1508310384. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1501 6TH ST
LA GRANDE, OR
ZIP 97850-419
Phone: (541) 962-0162

The enumeration date for this NPI number is 8/9/2016 and was last updated on 7/18/2017.

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)	17-06-28	OREGON	Yes
2	175T00000X	Peer Specialist		16-CRM-141	OREGON	No

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: 5/5/2024

NPI Synchronization or Removal

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