# ERIC OMRON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174359152
- **Gender:** Man
- **Credential:** CCAR, CPRM, CADC-DP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 175T00000X | Peer Specialist | — | NULL | — |

## Other

- **Enumeration date:** 09/09/2024
- **Last updated:** 12/02/2024