Individual provider · Type 1 NPI

Candi L. Balabon, CADC-R/CRM/PSS

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1376193201 Active

Practice location

1631 SW Columbia St
Portland, OR 97201-6025

Call (503) 231-2641 Map

Fax (503) 231-1654

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X18-CRM-338 (OR)
Peer Specialist 175T00000XTHW000003220 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-18-312 (OR)

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

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About NPI 1376193201

Candi L. Balabon, CADC-R/CRM/PSS's National Provider Identifier is 1376193201, issued on Sep 12, 2019. 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 Sep 12, 2019.