Individual
BRITNEE NIKOL CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA-R, CADC-R
Contact information
Practice address
352 S CALAPOOIA ST, SUTHERLIN, OR 97479-9558
(541) 799-5386
Mailing address
1255 PEARL ST, EUGENE, OR 97401-3570
(541) 799-5386
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-22-1510
OR
101YM0800X
Mental Health Counselor
Primary
24-QMHA-R-4854
OR
Other
Enumeration date
09/26/2022
Last updated
03/18/2024
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