Individual
NITA VANNICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
1651 CENTENNIAL BLVD, SPRINGFIELD, OR 97477-3363
(541) 726-2467
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4148
(541) 762-0606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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