Provider Demographics
NPI:1912356759
Name:MCCLATCHEY, VERONICA ANN (CADC)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:ANN
Last Name:MCCLATCHEY
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5050 COLUMBUS ST SE UNIT 167
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97322-8309
Mailing Address - Country:US
Mailing Address - Phone:458-262-5480
Mailing Address - Fax:
Practice Address - Street 1:5050 COLUMBUS ST SE UNIT 167
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97322-8309
Practice Address - Country:US
Practice Address - Phone:541-220-4826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-10
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT-22-1800101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)