Individual
MR. FRED L MCGEE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRM, CADC I
Contact information
Practice address
16111 E BURNSIDE ST STE 202, PORTLAND, OR 97233-3519
(503) 975-6082
Mailing address
9715 NE TENNY CREEK DR, VANCOUVER, WA 98665-9179
(503) 975-6082
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14-06-08
OR
175T00000X
Peer Specialist
12-CRM-042
OR
Other
Enumeration date
09/18/2014
Last updated
09/19/2023
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