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Individual

MS. ARIANNE ROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
QMHA, CADC I

Contact information

Practice address
412 SW 12TH AVE, PORTLAND, OR 97205-2329
(503) 572-8852
(503) 501-5679
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 200-3923
(503) 241-7419

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
08-12-42
OR
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08-12-42
THE ADDICTION COURNSELOR CERTIFICATION BOARD OF OREGON
OR
Enumeration date
06/21/2010
Last updated
01/07/2011
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