Individual
AIMEE REICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CADC-I
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 568-2119
Mailing address
9830 NE CASCADES PKWY, PORTLAND, OR 97220-6832
(503) 568-2119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12-12-52
OR
101YM0800X
Mental Health Counselor
Primary
C3687
OR
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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