person
Mrs. Nicole Alicia King, CADC1
Mental Health Counselor in Portland, Oregon
NPI 1598802274

Nicole Alicia King is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Nicole Alicia King practices in Portland, OR and has the professional credentials of CADC1. The NPI Number for Nicole Alicia King is 1598802274 and holds a License No. (Oregon).

The current practice location address for Nicole Alicia King is 3910 Se Stark St, Portland, OR and can be reached out via phone at 503-235-8655.

Location: 3910 Se Stark St, Portland, OR, 97266-3824
person
Provider Profile Details
NPI Number
1598802274
Provider Name
Nicole Alicia King
Credential
CADC1
Provider Entity Type
Individual
Gender
Female
Address
3910 Se Stark St, Portland, OR, 97266-3824
Phone Number
503-235-8655
Fax Number
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3910 Se Stark St
City
State
Zip
97214-3241
Phone Number
503-235-8655
Fax Number
person
Provider Business Mailing Address Details
Address
3910 Se Stark St
City
State
Zip
97214-3241
Phone Number
503-235-8655
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
License No.
(Oregon)
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
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