CAROL L STEPHENS CADC I NPI 1649649211

NPI Information

NPI: 1649649211
Provider Name: CAROL L STEPHENS, CADC I
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
109 N.E. MANZANITA AVE
GRANTS PASS, OR
ZIP 97526
Phone: (541) 479-8847
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Carol L Stephens, CADC I is an addiction (substance use disorder) counselor in Grants Pass, OR. Carol L Stephens, CADC I NPI is 1649649211. 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:

109 N.E. MANZANITA AVE
GRANTS PASS, OR
ZIP 97526-400
Phone: (541) 479-8847
Fax: (541) 471-2679

The enumeration date for this NPI number is 9/24/2015 and was last updated on 10/10/2019.

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)	15-01-12	OREGON	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

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	101YA0400X	MEDICAID	OREGON
2	500701179	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: 11/14/2023

NPI Synchronization or Removal

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