Individual
MS. SUSAN MAWDESLEY HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CDS III, NCGC II
Contact information
Practice address
131 NE 102ND AVE, PORTLAND, OR 97220-4167
(503) 253-6754
(503) 253-8020
Mailing address
1507 CEDAR ST, LAKE OSWEGO, OR 97034-4713
(503) 636-5039
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/01/2007
Last updated
09/11/2025
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