Individual
ISSAC LEROY EASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS,CRM,CADC-R
Contact information
Practice address
145 N COAST HWY STE B, NEWPORT, OR 97365-3165
(541) 272-5048
Mailing address
145 N COAST HWY STE B, NEWPORT, OR 97365-3165
(541) 272-5048
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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