Individual provider · Type 1 NPI

Charles L. Wanke, CRM

Addiction (Substance Use Disorder) Counselor · Aloha, OR

NPI number 1609390020 Active

Practice location

4585 SW 185th Ave
Aloha, OR 97078-1557

Call (503) 591-9280 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16-CRM-054 (OR)

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

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About NPI 1609390020

Charles L. Wanke, CRM's National Provider Identifier is 1609390020, issued on Jul 27, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Aloha, OR. The record was last updated on Nov 21, 2024.