Individual
KATRINA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-R, QMHA, CRM
Contact information
Practice address
4212 SE DIVISION ST STE 100, PORTLAND, OR 97206-1680
(503) 238-0705
(503) 236-7166
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
17-CRM-184
OR
Other
Enumeration date
11/21/2017
Last updated
12/22/2022
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