Individual provider · Type 1 NPI

Dondrae Fair Sr., CRM

Counselor · Portland, OR

NPI number 1174925366 Active

Practice location

3910 SE Stark St
Portland, OR 97214-3241

Call (503) 764-7445 Map

Mailing address

3910 SE Stark
Portland, OR 97214

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X14.CRM.008 (OR)
Peer Specialist 175T00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1174925366

Dondrae Fair Sr., CRM's National Provider Identifier is 1174925366, issued on Sep 19, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Oct 22, 2015.