person
Shawn Kevin Stone Calf Hudson, CADC-R/CRM
Addiction (Substance Use Disorder) Counselor in Gresham, Oregon
NPI 1568095339

Shawn Kevin Stone Calf Hudson is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Shawn Kevin Stone Calf Hudson practices in Gresham, OR and has the professional credentials of CADC-R/CRM. The NPI Number for Shawn Kevin Stone Calf Hudson is 1568095339 and holds a License No. 19-CRM-203 (Oregon).

The current practice location address for Shawn Kevin Stone Calf Hudson is 620 Ne 2Nd St, Gresham, OR and can be reached out via phone at 971-274-3757 and via fax at 503-912-3757.

Location: 620 Ne 2Nd St, Gresham, OR, 97205-1715
person
Provider Profile Details
NPI Number
1568095339
Provider Name
Shawn Kevin Stone Calf Hudson
Credential
CADC-R/CRM
Provider Entity Type
Individual
Gender
Male
Address
620 Ne 2Nd St, Gresham, OR, 97205-1715
Phone Number
971-274-3757
Fax Number
503-912-3757
Provider Enumeration Date
02/19/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500824424 05 OR
institution
Provider Business Practice Location Address Details
Address
620 Ne 2Nd St
City
State
Zip
97030-7514
Phone Number
971-274-3757
Fax Number
503-912-3757
person
Provider Business Mailing Address Details
Address
620 Ne 2Nd St
City
State
Zip
97030-7514
Phone Number
971-274-3757
Fax Number
503-912-3757
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
19-CRM-203 (Oregon)
Definition
Definition to come...
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