Cory John Caldwell, SUDRC13587
Cory John Caldwell, SUDRC13587 is a Peer Specialist in North Bend, Oregon. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
400 Virginia Ave Ste 201North Bend, OR 97459-3444
Phone: (541) 751-0357
Fax: (541) 751-9985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 13587 (CA) |
|---|---|
| Peer Specialist | Taxonomy 175T00000X |
Record details
| NPI number | 1568199669 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SUDRC13587 |
| Sole proprietor | No |
| NPI enumerated | August 8, 2022 |
| Last updated in NPPES | July 29, 2024 |
| Certification date | July 29, 2024 |
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400 Virginia Ave Ste 201, North Bend, OR 97459-3444 · (541) 751-0357