Individual provider · Type 1 NPI

Faye Kozonis

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1669736047 Active

Practice location

9111 NE Sunderland Ave
Portland, OR 97211-1708

Call (503) 280-6646 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1669736047

Faye Kozonis's National Provider Identifier is 1669736047, issued on Jun 29, 2012. 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 29, 2012.