Individual
MR. PAUL C ARAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
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
11-R-26
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19-P-13
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500733844
—
OR
Enumeration date
10/01/2008
Last updated
09/27/2019
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