Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chronicles of Success Recovery Services LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1104765825

Chronicles of Success Recovery Services LLC is an Addiction (Substance Use Disorder) Counselor in Medford, Oregon. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3140 Juanipero Way Ste 101
Medford, OR 97504-8647
Phone: (541) 323-4800
Fax: (541) 508-0330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1104765825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donique Boazeman — Owner/Administrator · (313) 977-2767
NPI enumeratedMarch 27, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address3140 Juanipero Way Ste 101, Medford, OR 97504-8647

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