Individual
DUSTIN M VARHAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
5105 MAIN ST, SPRINGFIELD, OR 97478-6214
(541) 357-4603
(541) 995-5013
Mailing address
230 N 3RD ST STE 105, HARRISBURG, OR 97446-9679
(541) 357-4603
(541) 995-5013
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-26-6470
OR
175T00000X
Peer Specialist
24-CRM-3723
OR
Other
Enumeration date
04/11/2025
Last updated
03/03/2026
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