Individual
CELESTE IAN DONEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MAC, CADC III
Contact information
Practice address
6124 SE MILWAUKIE AVE, PORTLAND, OR 97202-5347
(503) 317-1385
Mailing address
1612 SE MILLER ST, PORTLAND, OR 97202-6705
(503) 317-1385
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
08-12-78
OR
1041C0700X
Clinical Social Worker
Primary
A2523
OR
Other
Enumeration date
11/08/2011
Last updated
09/07/2012
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