Individual provider · Type 1 NPI

Katrina Young, CADC-R, QMHA, CRM

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1649784067 Active

Practice location

4212 SE Division St Ste 100
Portland, OR 97206-1680

Call (503) 238-0705 Map

Fax (503) 236-7166

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist 175T00000X17-CRM-184 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1649784067

Katrina Young, CADC-R, QMHA, CRM's National Provider Identifier is 1649784067, issued on Nov 21, 2017. 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 Dec 22, 2022.