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General NPI Number Information
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NPI Number | 1407768427
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Entity Type | Organization
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Legal Business Name | CENTER FOR ADDICTION AND COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 470 LANCASTER DR NE
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City | SALEM
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State | OR
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Zip | 97301-4728
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Country | US
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Telephone | 503-584-1906
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Fax | 503-584-1952
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Provider Business Mailing Address
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Address Line | 470 LANCASTER DR NE
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City | SALEM
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State | OR
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Zip | 97301-4728
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Country | US
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Telephone | 503-584-1906
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Fax | 503-584-1952
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH BOLAND
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Credential | LPC, NCC, CADC
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Telephone | 503-584-1906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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