Provider Demographics
NPI:1659095404
Name:CASE, BRITNEE NIKOL (QMHA-R, CADC-R)
Entity Type:Individual
Prefix:
First Name:BRITNEE
Middle Name:NIKOL
Last Name:CASE
Suffix:
Gender:F
Credentials:QMHA-R, CADC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3570
Mailing Address - Country:US
Mailing Address - Phone:541-799-5386
Mailing Address - Fax:
Practice Address - Street 1:352 S CALAPOOIA ST
Practice Address - Street 2:
Practice Address - City:SUTHERLIN
Practice Address - State:OR
Practice Address - Zip Code:97479-9558
Practice Address - Country:US
Practice Address - Phone:541-799-5386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT-22-1510101YA0400X
OR24-QMHA-R-4854101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)