Individual provider · Type 1 NPI

Jamie Trudeau, MS, NCC, LPC, CADC

Mental Health Counselor · Portland, OR

NPI number 1114291382 Active

Practice location

847 NE 19th Ave
Portland, OR 97232-2684

Call (503) 238-0769 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC3087 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400X13-R-05 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1114291382

Jamie Trudeau, MS, NCC, LPC, CADC's National Provider Identifier is 1114291382, issued on Mar 5, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 15, 2013.