Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Deroin

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184012379

John Deroin is an Addiction (Substance Use Disorder) Counselor in Coburg, Oregon. Works from 3 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

1 Serenity Ln
Coburg, OR 97408-9350
Phone: (541) 687-1110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2411 Martin Luther King Jr Blvd, Eugene, OR 97401-5824 — (541) 682-3608
  • 151 W 7th Ave, Eugene, OR 97401-1100 — (541) 682-4464

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 22-QMHP-R-1561 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 06-03-62 (OR)

Record details

NPI number1184012379
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 23, 2014
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024

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