Jacob Thomas Vida
Jacob Thomas Vida is an Addiction (Substance Use Disorder) Counselor in Salem, Oregon. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
3321 Harold Dr NESalem, OR 97305-1339
Phone: (503) 399-5597
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1164996278 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 11, 2019 |
| Last updated in NPPES | January 11, 2019 |
| Mailing address | 250 Church St Se Ste 202, Salem, OR 97301-3921 |
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