Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY JANE IIDA, CADC II
ActiveMARY JANE IIDA, CADC II is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SPRINGFIELD, Oregon. NPI 1275991077 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SPRINGFIELD, OR
Registration Details
- NPI Number
- 1275991077
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 8, 2016 (10.472752121791 yrs)
- Last Updated
- Mar 19, 2019
- License
-
18-04-15 (OR)
Practice Information
- Address
-
1651 CENTENNIAL BLVDSPRINGFIELD, OR, 974773363Browse OR providers · Browse ZIP 97477
- Phone
- 5417624532
- Fax
- 5417622467
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SPRINGFIELD, OR
| Name | Credential | NPI |
|---|---|---|
| JENNIFER LYN KUBAT | — | 1497183347 |
| JOVONNIE BASHAW | B.S. | 1902275464 |
| MS. MARY ANN THERESA FABRY | CADCII | 1295107423 |
| MR. THOMAS GASTON FRYE IV | CADC II | 1598138257 |
| DAVID NOWAK | CADC II | 1942675707 |
| NITA VANNICE | CADC II | 1255799029 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.