Individual provider · Type 1 NPI
Theresa Ann Dudley, LCSW, CADC1
Addiction (Substance Use Disorder) Counselor · Forest Grove, OR
NPI number
1861619264
Active
Practice location
1904 Elm St, Suite 5
Forest Grove, OR 97116-2553
Mailing address
PO Box 902
Forest Grove, OR 97116-0902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | L3637 (OR) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 01-11-18 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Forest Grove
About NPI 1861619264
Theresa Ann Dudley, LCSW, CADC1's National Provider Identifier is 1861619264, issued on Apr 19, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Forest Grove, OR. The record was last updated on Sep 11, 2025.