DIETRICH MCDANIEL, CADCII/CRM/PSS/QMHAI

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1548752199

Practice Address

620 NE 2ND ST
Gresham, OR 97030

Phone: (971) 274-3757

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes 22-11-20216 (OR)
Counselor - Mental Health 101YM0800X No 23-QMHA-I-003592 (OR)
Peer Specialist 175T00000X No THW000001862 (OR)

Frequently Asked Questions

NPI 1548752199 is the National Provider Identifier for DIETRICH MCDANIEL, CADCII/CRM/PSS/QMHAI, a Counselor - Addiction (Substance Use Disorder) provider located in Gresham, OR. This NPI was enumerated on May 30, 2018.
DIETRICH MCDANIEL, CADCII/CRM/PSS/QMHAI practices at 620 NE 2ND ST, Gresham, OR 97030.

Quick Facts

NPI
1548752199
Type
Individual
Enumerated
May 30, 2018
Last Updated
Oct 15, 2024

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