person
John Connelly, MS,QMHP,CADCI
Mental Health Counselor in Portland, Oregon
NPI 1124442165

John Connelly is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. John Connelly practices in Portland, OR and has the professional credentials of MS,QMHP,CADCI. The NPI Number for John Connelly is 1124442165 and holds a License No. 13-09-63U (Oregon).

The current practice location address for John Connelly is 1949 Se 122Nd Ave, Portland, OR and can be reached out via phone at 503-253-5954.

Location: 1949 Se 122Nd Ave, Portland, OR, 97209-3609
person
Provider Profile Details
NPI Number
1124442165
Provider Name
John Connelly
Credential
MS,QMHP,CADCI
Provider Entity Type
Individual
Gender
Male
Address
1949 Se 122Nd Ave, Portland, OR, 97209-3609
Phone Number
503-253-5954
Fax Number
Provider Enumeration Date
02/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1949 Se 122Nd Ave
City
State
Zip
97233-1303
Phone Number
503-253-5954
Fax Number
person
Provider Business Mailing Address Details
Address
1949 Se 122Nd Ave
City
State
Zip
97233-1303
Phone Number
503-253-5954
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
13-09-63U (Oregon)
Definition
Definition to come...
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