Individual provider · Type 1 NPI

Caroline Brisbois, CADC I/CRM II

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1992422455 Active

Practice location

620 NE 2nd St
Gresham, OR 97030-7514

Call (971) 274-3757 Map

Fax (503) 912-5740

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X24-CRM-II-0229 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X24-06-11143 (OR)

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

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About NPI 1992422455

Caroline Brisbois, CADC I/CRM II's National Provider Identifier is 1992422455, issued on Oct 25, 2022. 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 Jun 27, 2024.