Individual
HAROLD REICHERT CUBBEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-I, PWS, CRM
Contact information
Practice address
6310 E MAIN ST, HILLSBORO, OR 97123-6891
(971) 971-9777
Mailing address
6310 E MAIN ST, HILLSBORO, OR 97123-6891
(971) 971-9777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-12-10976
OR
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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