Individual provider · Type 1 NPI
Shawn Kevin Stone Calf Hudson, CADC-R/CRM
Addiction (Substance Use Disorder) Counselor · Gresham, OR
NPI number
1568095339
Active
Practice location
620 NE 2nd St
Gresham, OR 97030-7514
Fax (503) 912-3757
Mailing address
1776 SW Madison St
Portland, OR 97205-1715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19-CRM-203 (OR) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | T-23-2917 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Gresham
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- Melissa A. Jones, CRM/PSS/QMHA-RAddiction (Substance Use Disorder) Counselor Gresham, OR NPI 1063177269
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- Duane W. Kowalski, CRM/PSSAddiction (Substance Use Disorder) Counselor Gresham, OR NPI 1093203549
About NPI 1568095339
Shawn Kevin Stone Calf Hudson, CADC-R/CRM's National Provider Identifier is 1568095339, issued on Feb 19, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on Jan 16, 2024.