IndividualActive
Adrienne Wicker, CADC-R, CGAC II, CRM
NPI 1215549472 · Addiction (Substance Use Disorder) Counselor · Roseburg, OR
Provider details
- NPI number
- 1215549472
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CADC-R, CGAC II, CRM
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
621 W Madrone St
Roseburg, OR 97470-3090
Phone: (541) 672-2691
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1121
Roseburg, OR 97470-0254
Registry dates
- Enumerated
- 2020-08-19
- Last updated
- 2023-08-28
- Certified
- 2023-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.