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Sara J Young, PSSCRMIIQMHACADCI
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1265084685

Sara J Young is an Addiction (Substance Use Disorder) Counselor based in Saint Helens, OR and is specialized in Addiction (Substance Use Disorder). Sara J Young practices in Portland, OR and has the professional credentials of PSSCRMIIQMHACADCI. The NPI Number for Sara J Young is 1265084685 and holds a License No. T-20-112 (Oregon).

The current practice location address for Sara J Young is 1027 E Burnside St, Portland, OR and can be reached out via phone at 503-239-8444 and via fax at 503-239-8400.

Location: 1027 E Burnside St, Portland, OR, 97051-1632
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Provider Profile Details
NPI Number
1265084685
Provider Name
Sara J Young
Credential
PSSCRMIIQMHACADCI
Provider Entity Type
Individual
Gender
Female
Address
1027 E Burnside St, Portland, OR, 97051-1632
Phone Number
503-239-8444
Fax Number
503-239-8400
Provider Enumeration Date
07/15/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
THW000003584 01 OR OREGON HEALTH AUTHORITY
22-03-10374 01 OR MHACBO
19-QMHA-I-02752 01 OR MHACBO
21-CRM-II-0020 01 OR MHACBO
institution
Provider Business Practice Location Address Details
Address
1027 E Burnside St
City
State
Zip
97214-1328
Phone Number
503-239-8444
Fax Number
503-239-8400
person
Provider Business Mailing Address Details
Address
1027 E Burnside St
City
State
Zip
97214-1328
Phone Number
503-239-8444
Fax Number
503-239-8400
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
THW000003584 (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.
19-QMHA-I-02752 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
T-20-112 (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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