Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIETRICH LAMONT MCDANIEL, CADCII/CRM/PSS/QMHAI
ActiveDIETRICH LAMONT MCDANIEL, CADCII/CRM/PSS/QMHAI is a Addiction (Substance Use Disorder) Counselor healthcare provider located in GRESHAM, Oregon. NPI 1548752199 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · GRESHAM, OR
Registration Details
- NPI Number
- 1548752199
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2018 (8.1835894058687 yrs)
- Last Updated
- Oct 15, 2024
- Licenses
-
17-CRM-068 (OR)23-QMHA-I-003592 (OR)THW000001862 (OR)22-11-20216 (OR)
Practice Information
- Address
-
620 NE 2ND STGRESHAM, OR, 970307514Browse OR providers · Browse ZIP 97030
- Phone
- 9712743757
- Fax
- 5039125740
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Peer Specialist
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| MR. SHERWIN H. MOSCOW | MA | 1760595441 |
| MARY LOUISE DAVIS | CADCI | 1407906308 |
| EMELIE M THOMPSON | CADC | 1619095338 |
| MIGUEL TELLEZ | — | 1851519128 |
| MS. ANGELA MICHELLE WATSON | CADC APPLICANT | 1316167737 |
| FREDERICK FRANCIS SMITH | CADC II | 1467646307 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.