Individual
MR. DANIEL JON WARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, MAMFT, CADC I
Contact information
Practice address
2415 SE 43RD AVE, PORTLAND, OR 97206-1600
(503) 238-0705
(503) 236-7166
Mailing address
20627 SW JONQUIL TER, SHERWOOD, OR 97140-8187
(503) 925-8763
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C2184 / ACTIVE LPC
OR
Other
Enumeration date
01/26/2007
Last updated
09/23/2008
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