Individual
MR. EDWARD EUGENE JAMES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
2035 DAVCOR ST SE, SALEM, OR 97302-1595
(503) 576-4660
(503) 361-2688
Mailing address
1118 OAK ST SE, SALEM, OR 97301-4019
(503) 585-4949
(503) 361-2697
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
09-12-57
OR
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851790257
—
OR
Enumeration date
08/21/2014
Last updated
11/15/2021
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