IndividualActive
Holly Ivie
NPI 1851934533 · Addiction (Substance Use Disorder) Counselor · Phoenix, OR
Provider details
- NPI number
- 1851934533
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
149 S Main St
Phoenix, OR 97535-6631
Phone: (541) 535-4133
Approximate (ZIP-level) locationGet directions
Mailing address
1840 Kimberly Dr
Klamath Falls, OR 97603-5332
Registry dates
- Enumerated
- 2019-10-24
- Last updated
- 2019-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.