Individual provider · Type 1 NPI

Elyjah Jonathan M. Fritz-Rafael, PSS, CRM II, CADC-I

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1225742182 Active

Practice location

3231 SE 50th Ave
Portland, OR 97206-2248

Call (503) 238-5203 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25-02-11404 (OR)

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

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About NPI 1225742182

Elyjah Jonathan M. Fritz-Rafael, PSS, CRM II, CADC-I's National Provider Identifier is 1225742182, issued on Jan 5, 2023. 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 Mar 12, 2025.