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Tia Kerrigan, CADC-R, QMHA-R

Counselor, Addiction (Substance Use Disorder) in Eugene, OR. Individual provider (NPI-1).

NPI number1164079018
StatusActive
Last updated in NPPESFeb 6, 2020

Details

NPI
1164079018
Entity type
Individual (NPI-1)
Name
Tia Kerrigan
Credential
CADC-R, QMHA-R
Sex
Female
Sole proprietor
No
Enumeration date
Aug 23, 2019
Certification date
Feb 6, 2020
Last updated
Feb 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes
101YM0800X Counselor, Mental Health––

Practice location

687 Cheshire Ave
Eugene, OR 97402-5060

Phone 541-684-4100 · Fax 541-684-4156

Mailing address

687 Cheshire Ave
Eugene, OR 97402-5060

Phone 541-684-4100 · Fax 541-684-4156

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