Individual
LESLIE B BARAJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-R, CGAC-R
Contact information
Practice address
3800 SW CEDAR HILLS BLVD STE 170, BEAVERTON, OR 97005-2020
(503) 626-1800
Mailing address
3800 SW CEDAR HILLS BLVD STE 170, BEAVERTON, OR 97005-2020
(503) 626-1800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500792516
—
OR
01
—
T-19-509
MHACBO - CADC
OR
01
—
TG-21-043
MHACBO - CGAC
OR
Enumeration date
05/03/2021
Last updated
05/26/2021
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