Roberta Ann White, CAS, CADC
Counselor, Addiction (Substance Use Disorder) in Medford, OR. Individual provider (NPI-1).
NPI number1861697047
StatusActive
Last updated in NPPESApr 29, 2022
Details
- NPI
- 1861697047
- Entity type
- Individual (NPI-1)
- Name
- Roberta Ann White
- Credential
- CAS, CADC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2007
- Certification date
- Apr 29, 2022
- Last updated
- Apr 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 15-R-12 | OR |
Practice location
200 Beatty StMedford, OR 97501-5811
Phone 541-476-2373
Mailing address
1215 Sw G StGrants Pass, OR 97526-2544
Phone 541-476-2373
Other practice locations
2931 Prospect Ave
Concord, CA 94518-1025
Concord, CA 94518-1025
Phone 925-676-4840 · Fax 925-676-1315
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All 204 Addiction (Substance Use Disorder) Counselor providers in Medford · All 5,435 providers in Medford
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