Individual provider · Type 1 NPI

Mimi Barree Bruce, CADC R

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1952123515 Active

Practice location

211 NE 18th Ave
Portland, OR 97232-2822

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-24-4294 (OR)

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

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About NPI 1952123515

Mimi Barree Bruce, CADC R's National Provider Identifier is 1952123515, issued on Oct 25, 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 Oct 25, 2024.