Individual provider · Type 1 NPI

Michael Fetters, CADC-R

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1912738501 Active

Practice location

6200 SE King Rd
Portland, OR 97222-2891

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 1912738501

Michael Fetters, CADC-R's National Provider Identifier is 1912738501, issued on Aug 13, 2024. 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 13, 2024.