Individual provider · Type 1 NPI

Mary Kima Dolson

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1568032050 Active

Practice location

10564 SE Washington St
Portland, OR 97216-2809

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA12537 (OR)

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

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About NPI 1568032050

Mary Kima Dolson's National Provider Identifier is 1568032050, issued on Jun 28, 2021. 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 Jun 28, 2021.