Individual provider · Type 1 NPI

Audrey Mohonna Stanfield

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1821554056 Active

Practice location

7916 SE Foster Rd
Portland, OR 97206-4289

Fax (503) 208-2596

Mailing address

PO Box 16756
Portland, OR 97292-0756

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 1821554056

Audrey Mohonna Stanfield's National Provider Identifier is 1821554056, issued on Feb 12, 2019. 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 Feb 12, 2019.