Individual
RONDA VANZANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
10564 SE WASHINGTON ST, PORTLAND, OR 97216
(503) 228-9229
(503) 228-9558
Mailing address
PO BOX 16756, PORTLAND, OR 97292-0576
(503) 208-2596
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
07-06-36
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18-07-25U
OR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/24/2013
Last updated
09/05/2018
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