person
Caroline Brisbois, CADC-R/CRM/PSS
Addiction (Substance Use Disorder) Counselor in Gresham, Oregon
NPI 1992422455

Caroline Brisbois is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Caroline Brisbois practices in Gresham, OR and has the professional credentials of CADC-R/CRM/PSS. The NPI Number for Caroline Brisbois is 1992422455 and holds a License No. 21-CRM-660 (Oregon).

The current practice location address for Caroline Brisbois is 620 Ne 2Nd St, Gresham, OR and can be reached out via phone at 971-274-3757 and via fax at 503-912-5740. You can also correspond with Caroline Brisbois through the mailing address at 1776 SW MADISON ST, PORTLAND, OR - 97205-1715 (mailing address contact number: 503-224-1044).

Location: 620 Ne 2Nd St, Gresham, OR, 97205-1715
person
Provider Profile Details
NPI Number
1992422455
Provider Name
Caroline Brisbois
Credential
CADC-R/CRM/PSS
Provider Entity Type
Individual
Gender
Female
Address
620 Ne 2Nd St, Gresham, OR, 97205-1715
Phone Number
971-274-3757
Fax Number
503-912-5740
Provider Enumeration Date
10/25/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500812211 05 OR
500812212 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
503-912-5740
person
Provider Business Mailing Address Details
Address
1776 Sw Madison St
City
State
Zip
97205-1715
Phone Number
503-224-1044
Fax Number
503-621-2235
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
THW000105798 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
21-CRM-660 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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