Individual provider · Type 1 NPI

Joemal D. Bonneau, CADC CANDIDATE/QMHA

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1376995043 Active

Practice location

620 NE 2nd St
Gresham, OR 97030-7514

Call (971) 274-3757 Map

Fax (503) 912-5740

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Other practice locations

  • 10822 SE 82nd Ave, Happy Valley, OR 97086 · (503) 654-7444

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-16-238 (OR)

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

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About NPI 1376995043

Joemal D. Bonneau, CADC CANDIDATE/QMHA's National Provider Identifier is 1376995043, issued on Jul 6, 2016. 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 Mar 17, 2018.