Individual provider · Type 1 NPI

Brandi Lynn Gulliksen, CADC-R

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1699455485 Active

Practice location

8940 SE 72nd Ave
Portland, OR 97206-9417

Fax (503) 413-5990

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-23-2826 (OR)

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

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About NPI 1699455485

Brandi Lynn Gulliksen, CADC-R's National Provider Identifier is 1699455485, issued on Jul 18, 2023. 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 Jul 18, 2023.