Individual provider · Type 1 NPI

Diana Marie Fahey, CADC-R

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1063281814 Active

Practice location

324 NW Davis St
Portland, OR 97209-3925

Call (503) 226-2203 Map

Fax (503) 223-4231

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-23-3367 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063281814

Diana Marie Fahey, CADC-R's National Provider Identifier is 1063281814, issued on Dec 21, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Dec 21, 2023.