Individual provider · Type 1 NPI

Mikel-Anne Devine, CADC I

Addiction (Substance Use Disorder) Counselor · Dallas, OR

NPI number 1174170187 Active

Practice location

182 SW Academy St
Dallas, OR 97338-1996

Call (503) 623-9289 Map

Fax (503) 831-1726

Mailing address

1201 SW Bryson St
Dallas, OR 97338-1360

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1174170187

Mikel-Anne Devine, CADC I's National Provider Identifier is 1174170187, issued on Aug 23, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dallas, OR. The record was last updated on Oct 23, 2024.