Individual
MR. JOSHUA LEE BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC, CGAC, QMHA
Contact information
Practice address
850 SW 4TH ST STE 201, MADRAS, OR 97741-9629
(541) 699-6828
(541) 475-7257
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 923-2654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
241020496
OR
101YM0800X
Mental Health Counselor
23-QMHA-000169
OR
175T00000X
Peer Specialist
20-CRM-II-005
OR
Other
Enumeration date
11/15/2019
Last updated
04/16/2025
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