Individual
BROOKE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, QMHP
Contact information
Practice address
4212 SE DIVISION ST, PORTLAND, OR 97206-1628
(503) 238-0705
Mailing address
PO BOX 8459, PORTLAND, OR 97207
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
7480
OR
372600000X
Adult Companion
—
—
Other
Enumeration date
11/29/2007
Last updated
11/27/2024
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