Issac Leroy Easter, PSS,CRM,CADC-R

NPI #1124789250 in Newport, Oregon

Provider Information

NPI Number: 1124789250
Entity Type: Individual
Name: Issac Leroy Easter, PSS,CRM,CADC-R
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: PSS,CRM,CADC-R
Enumeration Date: Dec 30, 2021
Last Updated: Dec 30, 2021

Practice Location

Address: 145 N COAST HWY STE B
City: Newport
State: Oregon
ZIP Code: 97365-3165
Phone: (541) 272-5048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Peer Specialist	175T00000X	Primary

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