Individual provider · Type 1 NPI

Linda May Wacker

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1992454623 Active

Practice location

33 NW Broadway
Portland, OR 97209-3580

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X19-QMHP-C-00939 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20-10-28 (OR)

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

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About NPI 1992454623

Linda May Wacker's National Provider Identifier is 1992454623, issued on Mar 21, 2022. 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 Mar 21, 2022.