person
Mr. Glen Allen Suchanek I, CADCI,CRM
Addiction (Substance Use Disorder) Counselor in Oak Grove, Oregon
NPI 1588221691

Glen Allen Suchanek I is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Glen Allen Suchanek I practices in Oak Grove, OR and has the professional credentials of CADCI,CRM. The NPI Number for Glen Allen Suchanek I is 1588221691 and holds a License No. 18-07-04 (Oregon).

The current practice location address for Glen Allen Suchanek I is 3811 Se Concord Rd, Oak Grove, OR and can be reached out via phone at 971-269-6812 and via fax at 503-208-3186.

Location: 3811 Se Concord Rd, Oak Grove, OR, 97209-3609
person
Provider Profile Details
NPI Number
1588221691
Provider Name
Glen Allen Suchanek I
Credential
CADCI,CRM
Provider Entity Type
Individual
Gender
Male
Address
3811 Se Concord Rd, Oak Grove, OR, 97209-3609
Phone Number
971-269-6812
Fax Number
503-208-3186
Provider Enumeration Date
05/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3811 Se Concord Rd
City
State
Zip
97267-3911
Phone Number
971-269-6812
Fax Number
503-208-3186
person
Provider Business Mailing Address Details
Address
3811 Se Concord Rd
City
State
Zip
97267-3911
Phone Number
971-269-6812
Fax Number
503-208-3186
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
18-07-04 (Oregon)
Definition
Definition to come...
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