Individual
EILEEN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
241 SE 6TH ST, MADRAS, OR 97741-1635
(541) 516-4087
(541) 504-1195
Mailing address
241 SE 6TH ST, MADRAS, OR 97741-1635
(541) 516-4087
(541) 504-1195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
090936
OR
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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