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Addiction (Substance Use Disorder) Counselor

NPI: 1770881294Individual

Specialties, Licenses & Credentials

Addiction (Substance Use Disorder) CounselorPrimary

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

Adult Companion

Adult Companion

Code: 372600000X

12-06-53(OR)

Contact & Hours

Address: 9111 NE SUNDERLAND AVE
PORTLAND, OR 97211
Phone: (503) 238-0769

Location

Practice Location

9111 NE SUNDERLAND AVE, PORTLAND, OR

Quick Facts

NPI: 1770881294
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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