Individual provider · Type 1 NPI

Candia Elliott, CADC II

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1093018459 Active

Practice location

709 NW Everett St
Portland, OR 97209-3517

Fax (503) 445-4913

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X99-11-62 (OR)

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

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About NPI 1093018459

Candia Elliott, CADC II's National Provider Identifier is 1093018459, issued on Dec 7, 2010. 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 7, 2010.