Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tasha Anne Walter, CADC1, CRM, PSS

Individual provider Mental Health Counselor · NPI 1114499324

Tasha Anne Walter, CADC1, CRM, PSS is a Mental Health Counselor in Coos Bay, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

155 S Empire Blvd
Coos Bay, OR 97420-3374
Phone: (541) 756-3111
Fax: (541) 756-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1741 Newmark Ave, Coos Bay, OR 97420-4704 — (541) 756-3111

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 12-12-62 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence 19-QMHA-I-00761 (OR)
Peer Specialist Taxonomy 175T00000X · Licence 11-CRM-131 (OR)
Peer Specialist Taxonomy 175T00000X · Licence THW000002674 (OR)

Record details

NPI number1114499324
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADC1 , CRM , PSS
Sole proprietorNo
NPI enumeratedDecember 28, 2018
Last updated in NPPESApril 15, 2019

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