person
Tessa Rose Fowler, CADC-R
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1295467850

Tessa Rose Fowler is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Tessa Rose Fowler practices in Portland, OR and has the professional credentials of CADC-R. The NPI Number for Tessa Rose Fowler is 1295467850 and holds a License No. 22-QMHA-R-2556 (Oregon).

The current practice location address for Tessa Rose Fowler is 2318 Ne Mlk Jr Blvd, Portland, OR and can be reached out via phone at 503-802-0299.

Location: 2318 Ne Mlk Jr Blvd, Portland, OR, 97212-3715
person
Provider Profile Details
NPI Number
1295467850
Provider Name
Tessa Rose Fowler
Credential
CADC-R
Provider Entity Type
Individual
Gender
Female
Address
2318 Ne Mlk Jr Blvd, Portland, OR, 97212-3715
Phone Number
503-802-0299
Fax Number
Provider Enumeration Date
06/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2318 Ne Mlk Jr Blvd
City
State
Zip
97212-3715
Phone Number
503-802-0299
Fax Number
person
Provider Business Mailing Address Details
Address
2318 Ne Mlk Jr Blvd
City
State
Zip
97212-3715
Phone Number
503-802-0299
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-22-1681 (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.
22-QMHA-R-2556 (Oregon)
Definition
Definition to come...
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