Individual provider · Type 1 NPI
Mikki Proffitt, CADCI
Addiction (Substance Use Disorder) Counselor · Sandy, OR
NPI number
1396375663
Active
Practice location
19595 SE Martin Rd
Sandy, OR 97055-8241
Mailing address
PO Box 1825
Estacada, OR 97023-1825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CADCI (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Sandy
About NPI 1396375663
Mikki Proffitt, CADCI's National Provider Identifier is 1396375663, issued on Jan 24, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sandy, OR. The record was last updated on Jan 24, 2020.