Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM MARIE VAN EATON, CADC I, CRM, QMHA
Active Sole ProprietorKIM MARIE VAN EATON, CADC I, CRM, QMHA is a Addiction (Substance Use Disorder) Counselor healthcare provider located in ESTACADA, Oregon. NPI 1417292863 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · ESTACADA, OR
Registration Details
- NPI Number
- 1417292863
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2012 (13.651132609188 yrs)
- Last Updated
- Sep 25, 2023
- License
-
T-21-1331 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
380 NW 6TH AVEESTACADA, OR, 970237713Browse OR providers · Browse ZIP 97023
- Phone
- 8773027149
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in ESTACADA, OR
| Name | Credential | NPI |
|---|---|---|
| KARLA M TUEL | — | 1578138889 |
| JUSTIN RYE | — | 1386521359 |
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.