About
Mike C. Theodore is a Addiction Counselor in Beaverton, Oregon. He has 1 year of experience. Contact Mike C. Theodore to request his Medicare information, payment methods he accepts, or to book an appointment.
Basic Data
Entity Type: Individual; Not Sole Proprietor
Gender
Male
Years in Practice
1 year
Healthcare Provider Taxonomy
- Code: 101YA0400X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Counselor
- Specialization: Addiction
Credentials
- Qualified Mental Health Associate (QMHA)
Licenses
Name | License Number | State |
---|---|---|
Counselor | 35007 Verify | NY |
Practice Locations
17933 NW Evergreen Pkwy Ste 111
Beaverton, OR 97006-7452
Phone Number: (814) 243-0414
Fax Number: (814) 479-5906