Individual
MR. TOD J. CARRIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CADC III
Contact information
Practice address
3850 N MISSISSIPPI AVE APT A518, PORTLAND, OR 97227-1386
(503) 998-6610
Mailing address
3850 N MISSISSIPPI AVE APT A518, PORTLAND, OR 97227-1386
(503) 998-6610
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
08-12-77
OR
101YM0800X
Mental Health Counselor
C2378
OR
Other
Enumeration date
01/29/2007
Last updated
03/07/2022
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