Individual
MS. LINDA CATHERINE VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CADC
Contact information
Practice address
8850 SW 71ST PL, PORTLAND, OR 97223-2235
(503) 402-8602
(503) 244-4705
Mailing address
8850 SW 71ST PL, PORTLAND, OR 97223-2235
(503) 402-8602
(503) 244-4705
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
02-11-85
OR
101YP2500X
Professional Counselor
Primary
C1681
OR
Other
Enumeration date
03/10/2008
Last updated
09/29/2014
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