Individual
MICHELE DIANE VOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC III, MAC
Contact information
Practice address
1225 NE 2ND AVE, PORTLAND, OR 97232-2003
(503) 944-7102
Mailing address
1225 NE 2ND AVE, PORTLAND, OR 97232-2003
(503) 944-7102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11-12-74
OR
1041C0700X
Clinical Social Worker
Primary
L6220
OR
175T00000X
Peer Specialist
22-CRM-1403
OR
Other
Enumeration date
08/10/2010
Last updated
01/15/2024
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