Caroline Brisbois, CADC I/CRM II
Counselor, Addiction (Substance Use Disorder) in Gresham, OR. Individual provider (NPI-1).
NPI number1992422455
StatusActive
Last updated in NPPESJun 27, 2024
Details
- NPI
- 1992422455
- Entity type
- Individual (NPI-1)
- Name
- Caroline Brisbois
- Credential
- CADC I/CRM II
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2022
- Certification date
- Jun 27, 2024
- Last updated
- Jun 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 24-06-11143 | OR | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 24-CRM-II-0229 | OR |
Practice location
620 Ne 2nd StGresham, OR 97030-7514
Phone 971-274-3757 · Fax 503-912-5740
Mailing address
1776 Sw Madison StPortland, OR 97205-1715
Phone 503-224-1044 · Fax 503-621-2235
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All 87 Addiction (Substance Use Disorder) Counselor providers in Gresham · All 2,430 providers in Gresham
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