Individual provider · Type 1 NPI

Raidel Leon, CADC I, QMHA

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1891001137 Active

Practice location

231 SE 12th Ave
Portland, OR 97214-1342

Call (503) 546-9975 Map

Fax (503) 546-9976

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X09-09-27 (OR)
Case Manager/Care Coordinator 171M00000XNone listed

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

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About NPI 1891001137

Raidel Leon, CADC I, QMHA's National Provider Identifier is 1891001137, issued on Aug 24, 2010. 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 Aug 24, 2010.