person
Tara Holly Rayburn, CADCI
Addiction (Substance Use Disorder) Psychologist in Portland, Oregon
NPI 1134584527

Tara Holly Rayburn is an Addiction (Substance Use Disorder) Psychologist based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Tara Holly Rayburn practices in Portland, OR and has the professional credentials of CADCI. The NPI Number for Tara Holly Rayburn is 1134584527 and holds a License No. 20-10-06 (Oregon).

The current practice location address for Tara Holly Rayburn is 1722 Nw Raleigh St Spc 304, Portland, OR and can be reached out via phone at 971-645-0148.

Location: 1722 Nw Raleigh St Spc 304, Portland, OR, 97209-1752
person
Provider Profile Details
NPI Number
1134584527
Provider Name
Tara Holly Rayburn
Credential
CADCI
Provider Entity Type
Individual
Gender
Female
Address
1722 Nw Raleigh St Spc 304, Portland, OR, 97209-1752
Phone Number
971-645-0148
Fax Number
Provider Enumeration Date
12/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1722 Nw Raleigh St Spc 304
City
State
Zip
97209-1752
Phone Number
971-645-0148
Fax Number
person
Provider Business Mailing Address Details
Address
1722 Nw Raleigh St Spc 304
City
State
Zip
97209-1752
Phone Number
971-645-0148
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15-11-08 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
SWIA.SC.61162847 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
21-QMHP-R-0664 (Oregon)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
20-10-06 (Oregon)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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