Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dietrich Lamont McDaniel, CADCII/CRM/PSS/QMHAI

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1548752199

Dietrich Lamont McDaniel, CADCII/CRM/PSS/QMHAI is an Addiction (Substance Use Disorder) Counselor in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

620 NE 2nd St
Gresham, OR 97030-7514
Phone: (971) 274-3757
Fax: (503) 912-5740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 22-11-20216 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 17-CRM-068 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence 23-QMHA-I-003592 (OR)
Peer Specialist Taxonomy 175T00000X · Licence THW000001862 (OR)

Record details

NPI number1548752199
Entity typeIndividual (Type 1)
GenderMale
Credentials CADCII/CRM/PSS/QMHAI
Sole proprietorNo
NPI enumeratedMay 30, 2018
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

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