Individual
LAURIE ANN BACHMAN-MOTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-R, CRM
Contact information
Practice address
109 NE MANZANITA AVE, GRANTS PASS, OR 97526-1400
(541) 479-8847
(541) 471-2679
Mailing address
109 NE MANZANITA AVE, GRANTS PASS, OR 97526-1400
(541) 479-8847
(541) 471-2679
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-19-405
OR
175T00000X
Peer Specialist
THW2412
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500740449
—
OR
Enumeration date
01/05/2018
Last updated
08/28/2019
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