Individual
EMMITT ADAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHP, CADC III, SAP
Contact information
Practice address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 284-8605
(541) 687-9041
Mailing address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 284-8605
(541) 687-9041
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500763389
—
OR
05
—
500763640
—
OR
Enumeration date
05/23/2019
Last updated
08/06/2025
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