IndividualActive
Kaitlin Mullins, CADC-R, QMHA-I
NPI 1467015719 · Addiction (Substance Use Disorder) Counselor · Seaside, OR
Provider details
- NPI number
- 1467015719
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CADC-R, QMHA-I
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
2367 S Roosevelt Dr
Seaside, OR 97138-6550
Phone: (971) 320-3161
Fax: (503) 738-2116
Approximate (ZIP-level) locationGet directions
Mailing address
1027 E Burnside St
Portland, OR 97214-1328
Registry dates
- Enumerated
- 2019-04-22
- Last updated
- 2022-08-02
- Certified
- 2022-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.