# INNER COURAGE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700906047
- **Authorized official:** CAROL MAKER LCSW (MEMBER)
- **Authorized official phone:** (503) 341-4325

## Contact information

- **Practice address:** 21 NE ALBERTA ST, PORTLAND, OR 97211-2601
- **Practice address phone:** (503) 341-4325
- **Mailing address:** 21 NE ALBERTA ST, PORTLAND, OR 97211-2601
- **Mailing address phone:** (503) 341-4325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 2953 | OR | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 2953 | OR | — |
| 101YM0800X | Mental Health Counselor | 2953 | OR | — |
| 104100000X | Social Worker | 2953 | OR | — |
| 1041C0700X | Clinical Social Worker | 2953 | OR | Yes |
| 106H00000X | Marriage & Family Therapist | 2953 | OR | — |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 03/28/2014