DIANA MARIE FAHEY

PORTLAND, OR
NPI1063281814
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  T-23-3367)
Enumeration Date2023-12-21
Last Update Date2023-12-21
Business Address
DIANA MARIE FAHEY CADC-R
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203
Mailing Address
DIANA MARIE FAHEY CADC-R
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203