Individual provider · Type 1 NPI
Kim Marie Van Eaton, CADC I, CRM, QMHA
Addiction (Substance Use Disorder) Counselor · Estacada, OR
NPI number
1417292863
Active
Practice location
380 NW 6th Ave
Estacada, OR 97023-7713
Mailing address
10920 SW Barbur Blvd
Portland, OR 97219-8600
Other practice locations
- 5040 SE 82nd Ave, Portland, OR 97266-4802 · (877) 302-7149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | T-21-1331 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
9 other providers at this address
- Adrian BautistaPeer Specialist Estacada, OR NPI 1518734854
- James MillerPeer Specialist Estacada, OR NPI 1538049564
- Jamison BryantPeer Specialist Estacada, OR NPI 1588591713
- Jared Robert PettitAddiction (Substance Use Disorder) Counselor Estacada, OR NPI 1407604374
- Justin RyeAddiction (Substance Use Disorder) Counselor Estacada, OR NPI 1386521359
- Karla M. TuelAddiction (Substance Use Disorder) Counselor Estacada, OR NPI 1578138889
- Klodoaldo CuevasPeer Specialist Estacada, OR NPI 1700750718
- Patricia ZinkPeer Specialist Estacada, OR NPI 1508726845
- Teesa Twomoons, CRMPeer Specialist Estacada, OR NPI 1609670967
Other addiction (substance use disorder) counselor providers in Estacada
About NPI 1417292863
Kim Marie Van Eaton, CADC I, CRM, QMHA's National Provider Identifier is 1417292863, issued on Dec 11, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Estacada, OR. The record was last updated on Sep 25, 2023.