JACOB VIDA
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1164996278
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1164996278 is the National Provider Identifier for JACOB VIDA, a Counselor - Addiction (Substance Use Disorder) provider located in Salem, OR. This NPI was enumerated on January 11, 2019.
JACOB VIDA practices at 3321 HAROLD DR NE, Salem, OR 97305.
Quick Facts
- NPI
- 1164996278
- Type
- Individual
- Enumerated
- Jan 11, 2019
- Last Updated
- Jan 11, 2019
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