Individual provider · Type 1 NPI
Amanda Michelle Gillam, CDP
Addiction (Substance Use Disorder) Counselor · Vancouver, WA
NPI number
1467769117
Active
Practice location
7507 NE 51st St
Vancouver, WA 98662-6007
Mailing address
PO Box 82819
Portland, OR 97282-0819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CP60011896 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1467769117
Amanda Michelle Gillam, CDP's National Provider Identifier is 1467769117, issued on Sep 1, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vancouver, WA. The record was last updated on Sep 1, 2010.