MIKE BROCKMAN, CADC II/QMHA-I

CADC II/QMHA-I

Addiction (Substance Use Disorder) Counselor

NPI: 1073641064Individual

Specialties, Licenses & Credentials

Mental Health Counselor

Counselor — Mental Health

Code: 101YM0800X

19-QMHA-I-01468(OR)

Addiction (Substance Use Disorder) CounselorPrimary

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

15-10-21(OR)

Contact & Hours

Address: 1631 SW COLUMBIA ST
PORTLAND, OR 97201
Phone: (503) 231-2641

Quick Facts

NPI: 1073641064
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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