Heather Monique Duvall, CADC-R
Counselor in Medford, OR. Individual provider (NPI-1).
NPI number1164036117
StatusActive
Last updated in NPPESSep 6, 2020
Details
- NPI
- 1164036117
- Entity type
- Individual (NPI-1)
- Name
- Ms. Heather Monique Duvall
- Credential
- CADC-R
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2020
- Certification date
- Sep 6, 2020
- Last updated
- Sep 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
3397 Delta Waters RdMedford, OR 97504-5852
Phone 541-772-4648
Mailing address
300 W Main StMedford, OR 97501-2756
Phone 541-772-1777
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