Individual provider · Type 1 NPI

Angela Michelle Watson, CADC APPLICANT

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1316167737 Active

Practice location

400 NE 7th St
Gresham, OR 97030-5604

Call (503) 661-5455 Map

Mailing address

39275 Hood St Apt G
Sandy, OR 97055-9439

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1316167737

Angela Michelle Watson, CADC APPLICANT's National Provider Identifier is 1316167737, issued on Apr 26, 2007. 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 Sep 21, 2007.