KIM VAN EATON, CADC I, CRM, QMHA
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1417292863
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Health Worker | 172V00000X | No | - |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | T-21-1331 (OR) |
Frequently Asked Questions
NPI 1417292863 is the National Provider Identifier for KIM VAN EATON, CADC I, CRM, QMHA, a Counselor - Addiction (Substance Use Disorder) provider located in Estacada, OR. This NPI was enumerated on December 11, 2012.
KIM VAN EATON, CADC I, CRM, QMHA practices at 380 NW 6TH AVE, Estacada, OR 97023.
Quick Facts
- NPI
- 1417292863
- Type
- Individual
- Enumerated
- Dec 11, 2012
- Last Updated
- Sep 25, 2023
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