Individual
KATIE SUE WESEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
10765 SW GREENBURG RD, PORTLAND, OR 97223-5413
(503) 684-8159
(503) 598-0934
Mailing address
10765 SW GREENBURG RD, TIGARD, OR 97223-5413
(150) 394-1856
(503) 598-0934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-22-2051
OR
Other
Enumeration date
10/10/2022
Last updated
12/05/2023
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