Individual
CASSANDRA R REEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Mailing address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC-I18-09-36
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
20-QMHA-R-0850
OR
101YM0800X
Mental Health Counselor
Primary
21-QMHA-I-003178
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500719263
—
OR
Enumeration date
01/04/2017
Last updated
07/29/2021
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