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

Nicole Connelly, CADC1QMHA-R

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134846660

Nicole Connelly, CADC1QMHA-R is an Addiction (Substance Use Disorder) Counselor in Corvallis, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2022

Practice location Address checks out

306 SW 8th St
Corvallis, OR 97333-4543
Phone: (541) 753-2230
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 (OR)

Record details

NPI number1134846660
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADC1QMHA-R
Sole proprietorYes
NPI enumeratedOctober 25, 2022
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023

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