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BRADLEY ROAN EAGLE

Addiction (Substance Use Disorder) Counselor

NPI: 1497393425Individual

Specialties, Licenses & Credentials

Case Manager/Care Coordinator

Code: 171M00000X

20-QMHA-R-0842(OR)

Peer Specialist

Code: 175T00000X

21-CRM-411(OR)

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

T-20-486(OR)CADC-RT-20-486(OR)

Contact & Hours

Address
3425 13TH ST
BAKER CITY, OR 97814

Quick Facts

NPI
1497393425
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
4
Locations
1

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