Individual provider · Type 1 NPI
Kevin McClue
Addiction (Substance Use Disorder) Counselor · Portland, OR
NPI number
1497116271
Active
Practice location
324 NW Davis
Portland, OR 97007
Fax (503) 223-4231
Mailing address
324 NW Davis St.
Portland, OR 97007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1497116271
Kevin McClue's National Provider Identifier is 1497116271, issued on Mar 8, 2016. 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 Mar 8, 2016.