Individual provider · Type 1 NPI

Justina Marie Cook, CADCI, QMHA-R

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1861327074 Active

Practice location

620 NE 2nd St
Gresham, OR 97030-7514

Call (971) 274-3757 Map

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X26-QMHA-R-8810 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X26-05-11912 (OR)

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

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About NPI 1861327074

Justina Marie Cook, CADCI, QMHA-R's National Provider Identifier is 1861327074, issued on Jun 17, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on Jul 21, 2026.