Healthcare Provider Details
I. General information
NPI: 1699802991
Provider Name (Legal Business Name): MARION S FRANC MS LPC CADCII GGACII
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/27/2007
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
SE 43RD AVE SUITE 200 CASCADIA BHC
PDX OR
97206
US
IV. Provider business mailing address
9139 SW 23RD DR
PDX OR
97219
US
V. Phone/Fax
- Phone: 503-872-0168
- Fax: 503-239-5952
- Phone: 503-245-0669
- Fax: 503-239-5953
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | C0692 |
| License Number State | OR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | G 00-00-26 |
| License Number State | OR |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | G 00-00-26 |
| License Number State | OR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: