Individual provider · Type 1 NPI

Lorrie E. Mosbergen, CADC I, CRM

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1144851445 Active

Practice location

16420 SE Division St
Portland, OR 97236-1987

Fax (503) 762-3199

Mailing address

2500 Maitland Center Pkwy Ste 250
Maitland, FL 32751-4174

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17-08-06 (OR)

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

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About NPI 1144851445

Lorrie E. Mosbergen, CADC I, CRM's National Provider Identifier is 1144851445, issued on Jan 27, 2020. 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 Jan 27, 2020.