Mason Anthony Marin, CADC-R, CRM 1
Counselor, Addiction (Substance Use Disorder) in Coburg, OR. Individual provider (NPI-1).
NPI number1033958905
StatusActive
Last updated in NPPESMay 21, 2024
Details
- NPI
- 1033958905
- Entity type
- Individual (NPI-1)
- Name
- Mason Anthony Marin
- Credential
- CADC-R, CRM 1
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 21, 2024
- Certification date
- May 21, 2024
- Last updated
- May 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | T-22-1780 | OR | Yes |
Practice location
1 Serenity LnCoburg, OR 97408-9350
Phone 541-606-3308
Mailing address
760 W 8th AveEugene, OR 97402-5165
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