Individual provider · Type 1 NPI

Elijawan Addison

Mental Health Counselor · St. Helens, OR

NPI number 1235670936 Active

Practice location

58147 Columbia River Hwy, Suite C
St. Helens, OR 97051-6226

Fax (503) 410-5678

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1235670936

Elijawan Addison's National Provider Identifier is 1235670936, issued on Mar 14, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Helens, OR. The record was last updated on Mar 14, 2017.