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Michael Aaron Gonzalez, CADC-R/CRM/PSS
Addiction (Substance Use Disorder) Counselor in Gresham, Oregon
NPI 1174196083

Michael Aaron Gonzalez is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Michael Aaron Gonzalez practices in Gresham, OR and has the professional credentials of CADC-R/CRM/PSS. The NPI Number for Michael Aaron Gonzalez is 1174196083 and holds a License No. THW000105609 (Oregon).

The current practice location address for Michael Aaron Gonzalez is 620 Ne 2Nd St, Gresham, OR and can be reached out via phone at 971-274-3757 and via fax at 503-912-5740. You can also correspond with Michael Aaron Gonzalez through the mailing address at 1776 SW MADISON ST, PORTLAND, OR - 97205-1715 (mailing address contact number: 503-224-1044).

Location: 620 Ne 2Nd St, Gresham, OR, 97205-1715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174196083
Provider Name
Michael Aaron Gonzalez
Credential
CADC-R/CRM/PSS
Provider Entity Type
Individual
Gender
Male
Address
620 Ne 2Nd St, Gresham, OR, 97205-1715
Phone Number
971-274-3757
Fax Number
503-912-5740
Provider Enumeration Date
07/19/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500807475 05 OR
institution
Provider Business Practice Location Address Details
Address
620 Ne 2Nd St
City
Gresham
State
Oregon
Zip
97030-7514
Phone Number
971-274-3757
Fax Number
503-912-5740
person
Provider Business Mailing Address Details
Address
1776 Sw Madison St
City
Portland
State
Oregon
Zip
97205-1715
Phone Number
503-224-1044
Fax Number
503-621-2235
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
21-CRM-479 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000105609 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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