Individual
MS. DANIELLE RAE MCMINN KAIGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
1132 SW 13TH AVENUE, PORTLAND, OR 97205-1703
(503) 353-5930
(503) 223-6837
Mailing address
1132 SW 13TH AVENUE, PORTLAND, OR 97205-1703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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