Individual
ADAM D HALVORSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MACP, LMHC, CDP, CPS
Contact information
Practice address
1498 SE TECH CENTER PL STE 180, VANCOUVER, WA 98683-5518
(360) 619-2226
(360) 326-9691
Mailing address
305 SE CHKALOV DR STE 111NO111, VANCOUVER, WA 98683-5292
(360) 844-0153
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO 60158865
WA
101YM0800X
Mental Health Counselor
Primary
LH60930372
WA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
7889
PA
Other
Enumeration date
05/21/2012
Last updated
07/09/2019
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