Individual provider · Type 1 NPI
Kathleen Ann Drake, CADC I NCAC I
Addiction (Substance Use Disorder) Counselor · Portland, OR
NPI number
1437285202
Active
Practice location
1508 SW Hume St
Portland, OR 97219-4267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 06-07-15 (OR) |
| Case Manager/Care Coordinator | 171M00000X | 06-07-15 (OR) |
| Counselor | 101Y00000X | 06-07-15 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1437285202
Kathleen Ann Drake, CADC I NCAC I's National Provider Identifier is 1437285202, issued on Feb 26, 2007. 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 May 11, 2012.