Organization · Type 2 NPI

Transformative Justice Community

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1508677295 Active

Practice location

5932 NE Glisan St Ste F
Portland, OR 97213-3754

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor Primary	101YA0400X	None listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

2 other providers at this address

Transformative Justice CommunityMental Health Counselor Portland, OR NPI 1730990433
Cameron Richard Tyler Hayes, CADC-I, CRM-IIAddiction (Substance Use Disorder) Counselor Portland, OR NPI 1568272391

Other addiction (substance use disorder) counselor providers in Portland

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NPI record

NPI: 1508677295
Entity type: Organization (Type 2)
Issued: Jan 14, 2025
Last updated: Feb 15, 2025
Status: Active
Subpart: Yes of Transformative Justice Community

Other names

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Regroup Treatment Services · doing business as
Regroup Treatment Services · doing business as

Authorized official

Mr. Cameron Richard Tyler Hayes, CADC-I, CRM-II
Director
(808) 773-2991

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About NPI 1508677295

Transformative Justice Community's National Provider Identifier is 1508677295, issued on Jan 14, 2025. 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 Feb 15, 2025.