Individual provider · Type 1 NPI

Maya Spade

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1568356830 Active

Practice location

324 NW Davis St
Portland, OR 97209-3925

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-25-5381 (OR)

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

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About NPI 1568356830

Maya Spade's National Provider Identifier is 1568356830, issued on Jun 3, 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 Jun 3, 2025.