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NPI Code Detail

MEDICARE: KAMI SHEREE BEARD CRM, CADC 1

MEDICARE: KAMI SHEREE BEARD CRM, CADC 1
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor21-08-10216OR

General Provider Information

NPI Number : 1891466249
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMI SHEREE BEARD CRM, CADC 1
Provider Business Mailing Address
First Line : 138 NE CONIFER BLVD APT 6
Second Line :
City : CORVALLIS
State : OR
Zip : 97330-7004
Country : US
Telephone Number : 541-230-8755
Fax Number :
Provider Business Practice Location Address
First Line : 231 LYON ST SE
Second Line :
City : ALBANY
State : OR
Zip : 97321-2707
Country : US
Telephone Number : 541-791-3411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2021
Last Update Date : 09/24/2021

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Directions to “ KAMI SHEREE BEARD CRM, CADC 1” Practice Location

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