Mike W Brockman, CADCII/QMHA-I
Mike W Brockman, CADCII/QMHA-I is a Mental Health Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.
- Licensed in
- OR
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
1631 SW Columbia StPortland, OR 97201-6025
Phone: (503) 231-2641
Fax: (503) 231-1654
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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 15-10-21 (OR) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 19-QMHA-I-01468 (OR) |
Record details
| NPI number | 1073641064 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CADCII/QMHA-I |
| Sole proprietor | No |
| NPI enumerated | March 1, 2007 |
| Last updated in NPPES | July 1, 2024 |
| Certification date | July 1, 2024 |
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