Individual
CHRISTOPHER CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA, CADC-R
Contact information
Practice address
850 SE ROSE ST, ROSEBURG, OR 97470-3942
(541) 900-1506
Mailing address
850 SE ROSE ST, ROSEBURG, OR 97470-3942
(541) 900-1506
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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