Individual
MR. JAMES TOMASEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CADC II
Contact information
Practice address
3995 MARCOLA ROAD, SPRINGFIELD, OR 97477
(541) 726-1465
Mailing address
3995 MARCOLA ROAD, SPRINGFIELD, OR 97477
(541) 726-1465
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16-R-16
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00005784
WA
1041C0700X
Clinical Social Worker
Primary
L7006
OR
Other
Enumeration date
10/20/2006
Last updated
10/10/2016
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