Individual provider · Type 1 NPI

Luci A. Ladue, CADC II/QMHP-R

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1194046110 Active

Practice location

620 NE 2nd St
Gresham, OR 97030-7514

Call (971) 274-3757 Map

Fax (503) 912-5740

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X24-QMHP-R-3281 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11-R-12 (OR)

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

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About NPI 1194046110

Luci A. Ladue, CADC II/QMHP-R's National Provider Identifier is 1194046110, issued on Jun 14, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on Dec 27, 2024.