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Mr. Elnathan Hudson, CADCII/QMHA-I
Mental Health Counselor in Portland, Oregon
NPI 1508992678

Elnathan Hudson is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Elnathan Hudson practices in Portland, OR and has the professional credentials of CADCII/QMHA-I. The NPI Number for Elnathan Hudson is 1508992678 and holds a License No. 04-P-06 (Oregon).

The current practice location address for Elnathan Hudson is 1438 Se Division St, Portland, OR and can be reached out via phone at 503-548-0346 and via fax at 503-232-5959.

Location: 1438 Se Division St, Portland, OR, 97205-1715
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Provider Profile Details
NPI Number
1508992678
Provider Name
Elnathan Hudson
Credential
CADCII/QMHA-I
Provider Entity Type
Individual
Gender
Male
Address
1438 Se Division St, Portland, OR, 97205-1715
Phone Number
503-548-0346
Fax Number
503-232-5959
Provider Enumeration Date
02/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500807103 05 OR
500686032 05 OR
institution
Provider Business Practice Location Address Details
Address
1438 Se Division St
City
State
Zip
97202-1140
Phone Number
503-548-0346
Fax Number
503-232-5959
person
Provider Business Mailing Address Details
Address
1438 Se Division St
City
State
Zip
97202-1140
Phone Number
503-548-0346
Fax Number
503-232-5959
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
19-QMHA-I-02175 (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.
04-P-06 (Oregon)
Definition
Definition to come...
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