Individual
MRS. MELISSA L HOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CADC II
Contact information
Practice address
3325 N INTERSTATE AVE, PORTLAND, OR 97227-1020
(503) 331-6484
Mailing address
3325 N INTERSTATE AVE, PORTLAND, OR 97227-1020
(503) 331-6484
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
04-03-21
OR
1041C0700X
Clinical Social Worker
Primary
CSWA-A4071
OR
Other
Enumeration date
01/30/2007
Last updated
12/17/2021
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