Provider Demographics
NPI:1710454954
Name:HAFDAHL, AARON JAMES (CADC-I)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:JAMES
Last Name:HAFDAHL
Suffix:
Gender:M
Credentials:CADC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 HIGHWAY 99 N
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-2404
Mailing Address - Country:US
Mailing Address - Phone:541-505-5664
Mailing Address - Fax:
Practice Address - Street 1:338 HIGHWAY 99 N
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-2404
Practice Address - Country:US
Practice Address - Phone:541-505-5664
Practice Address - Fax:541-683-6196
Is Sole Proprietor?:No
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR14-06-04101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)