Individual
ERIN C BROCHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 NW 6TH AVE, PORTLAND, OR 97209-3964
(971) 300-9952
(503) 988-4017
Mailing address
619 NW 6TH AVE, PORTLAND, OR 97209-3964
(971) 300-9952
(503) 988-4017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00006274
WA
1041C0700X
Clinical Social Worker
Primary
5494
OR
Other
Enumeration date
12/06/2006
Last updated
01/02/2020
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