Individual
PHILLIP CHAPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-R
Contact information
Practice address
925 COMMERCIAL ST SE STE 150, SALEM, OR 97302-4172
(503) 304-4358
Mailing address
PO BOX 20674, KEIZER, OR 97307-0674
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-4569
OR
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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