Provider Demographics
NPI:1831580265
Name:ADDICTIONS & FAMILY COUNSELING, P.C
Entity type:Organization
Organization Name:ADDICTIONS & FAMILY COUNSELING, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CADC III
Authorized Official - Phone:503-667-2023
Mailing Address - Street 1:147 EAST HISTORIC COLUMBIA RIVER HWY
Mailing Address - Street 2:
Mailing Address - City:TROUTDALE
Mailing Address - State:OR
Mailing Address - Zip Code:97060-3139
Mailing Address - Country:US
Mailing Address - Phone:503-667-2023
Mailing Address - Fax:503-766-4016
Practice Address - Street 1:147 EAST HISTORIC COLUMBIA RIVER HWY
Practice Address - Street 2:
Practice Address - City:TROUTDALE
Practice Address - State:OR
Practice Address - Zip Code:97060-3139
Practice Address - Country:US
Practice Address - Phone:503-667-2023
Practice Address - Fax:503-766-4016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty