Individual
SUSAN MARIE STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
870 82ND DR, BUILDING C, GLADSTONE, OR 97027-1803
(503) 659-5515
(503) 594-8193
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/06/2012
Last updated
08/29/2016
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