Individual
MS. AMY CLOUDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
3600 13TH ST, BAKER CITY, OR 97814
(541) 523-9559
(541) 523-8067
Mailing address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14-09-02
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19-03-31
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500707005
—
OR
Enumeration date
03/23/2016
Last updated
06/30/2023
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