Individual
JULIA MARIE MINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 226-4060
(503) 445-4913
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209
(503) 226-4060
(503) 445-4913
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
03-03-32
OR
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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