IndividualActive
Bryan Dewitt, CRM
NPI 1124851910 · Addiction (Substance Use Disorder) Counselor · La Grande, OR
Provider details
- NPI number
- 1124851910
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CRM
- Sex
- Male
- Sole proprietor
- No
- License
- T-25-6031 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Peer Specialist175T00000X
Other Service Providers
Practice location
2301 Cove Ave
La Grande, OR 97850-3906
Phone: (541) 962-8800
Fax: (541) 963-5272
Approximate (ZIP-level) locationGet directions
Mailing address
2301 Cove Ave
La Grande, OR 97850-3906
Registry dates
- Enumerated
- 2024-08-26
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.