Individual provider · Type 1 NPI

Anna Marie McDaniel-Martin, CADC 1 CANIDATE

Addiction (Substance Use Disorder) Counselor · Tigard, OR

NPI number 1679103709 Active

Practice location

10763 SW Greenburg Rd Ste 100
Tigard, OR 97223-5492

Call (503) 684-8159 Map

Fax (503) 598-0934

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-20-039 (OR)

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

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About NPI 1679103709

Anna Marie McDaniel-Martin, CADC 1 CANIDATE's National Provider Identifier is 1679103709, issued on Jan 16, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tigard, OR. The record was last updated on Jan 16, 2020.