Individual
MRS. CAROL JEAN MORAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC CADC III
Contact information
Practice address
2700 SE 26TH AVE, STE C, PORTLAND, OR 97202-1288
(503) 230-9900
Mailing address
2700 SE 26TH AVE, SUITE C, PORTLAND, OR 97202-1288
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CERT #: 95-R-38
OR
101YM0800X
Mental Health Counselor
Primary
C1143
OR
Other
Enumeration date
12/01/2005
Last updated
07/10/2007
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