ALFREDO AMADOR MENDOZA SANTIAGO QMHA CADC-R CRM NPI 1659024479

NPI Information

NPI: 1659024479
Provider Name: ALFREDO AMADOR MENDOZA SANTIAGO, QMHA, CADC-R, CRM
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1050 PRICE RD SE
ALBANY, OR
ZIP 97322
Phone: (541) 928-9681
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Alfredo Amador Mendoza Santiago, QMHA, CADC-R, CRM is an addiction (substance use disorder) counselor in Albany, OR. Alfredo Amador Mendoza Santiago, QMHA, CADC-R, CRM NPI is 1659024479. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1050 PRICE RD SE
ALBANY, OR
ZIP 97322-314
Phone: (541) 928-9681

The enumeration date for this NPI number is 2/1/2022 and was last updated on 1/10/2024.

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	101YM0800X	Counselor	Mental Health	23-QMHA-I-004017	OREGON	No
2	172V00000X	Community Health Worker		22-CRM-824	OREGON	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	T-22-1786	OREGON	Yes

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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