person
Diana Marie Fahey, CADC-R
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1063281814

Diana Marie Fahey is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Diana Marie Fahey practices in Portland, OR and has the professional credentials of CADC-R. The NPI Number for Diana Marie Fahey is 1063281814 and holds a License No. T-23-3367 (Oregon).

The current practice location address for Diana Marie Fahey is 324 Nw Davis St, Portland, OR and can be reached out via phone at 503-226-2203 and via fax at 503-223-4231.

Location: 324 Nw Davis St, Portland, OR, 97209-3925
person
Provider Profile Details
NPI Number
1063281814
Provider Name
Diana Marie Fahey
Credential
CADC-R
Provider Entity Type
Individual
Gender
Female
Address
324 Nw Davis St, Portland, OR, 97209-3925
Phone Number
503-226-2203
Fax Number
503-223-4231
Provider Enumeration Date
12/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
324 Nw Davis St
City
State
Zip
97209-3925
Phone Number
503-226-2203
Fax Number
503-223-4231
person
Provider Business Mailing Address Details
Address
324 Nw Davis St
City
State
Zip
97209-3925
Phone Number
503-226-2203
Fax Number
503-223-4231
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-23-3367 (Oregon)
Definition
Definition to come...
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