Individual provider · Type 1 NPI
Jeffery Todd Carney, CADC 2/ QMHA 1
Addiction (Substance Use Disorder) Counselor · Gladstone, OR
NPI number
1235590845
Active
Practice location
870 82nd Dr # C
Gladstone, OR 97027-1803
Fax (503) 594-8193
Mailing address
324 NW Davis St
Portland, OR 97205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18-11-11 (OR) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1235590845
Jeffery Todd Carney, CADC 2/ QMHA 1's National Provider Identifier is 1235590845, issued on Mar 9, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gladstone, OR. The record was last updated on Jan 22, 2024.