Dietrich Lamont Mcdaniel, CADCII/CRM/PSS/QMHAI - Counselor in Gresham, OR

Dietrich Lamont Mcdaniel, CADCII/CRM/PSS/QMHAI is a Counselor - Addiction (substance Use Disorder) based in Gresham, Oregon. Dietrich Lamont Mcdaniel is licensed to practice in Oregon (license number 22-11-20216) and his current practice location is 620 Ne 2nd St, Gresham, Oregon. He can be reached at his office (for appointments etc.) via phone at (971) 274-3757.

NPI number for Dietrich Lamont Mcdaniel is 1548752199 and his current mailing address is 1776 Sw Madison St, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548752199.

Contact Information

Dietrich Lamont Mcdaniel, CADCII/CRM/PSS/QMHAI
620 Ne 2nd St,
Gresham, OR 97030-7514
(971) 274-3757
(503) 912-5740

Map and Direction


Healthcare Provider's Profile

Full NameDietrich Lamont Mcdaniel
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location620 Ne 2nd St, Gresham, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548752199
  • Provider Enumeration Date: 05/30/2018
  • Last Update Date: 10/15/2024

Medical Identifiers

Medical identifiers for Dietrich Lamont Mcdaniel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548752199NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 17-CRM-068 (Oregon)Secondary
101YM0800XCounselor - Mental Health 23-QMHA-I-003592 (Oregon)Secondary
175T00000XPeer Specialist THW000001862 (Oregon)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 22-11-20216 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dietrich Lamont Mcdaniel is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dietrich Lamont Mcdaniel, CADCII/CRM/PSS/QMHAI
1776 Sw Madison St,
Portland, OR 97205-1715

Ph: (503) 224-1044
Dietrich Lamont Mcdaniel, CADCII/CRM/PSS/QMHAI
620 Ne 2nd St,
Gresham, OR 97030-7514

Ph: (971) 274-3757

Reviews and Comments


Counselor in Gresham, OR

Andrea Michele Kahler, MA, NCC, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 1700 Nw Civic Dr Ste 310, Gresham, OR 97030
Phone: 503-666-8832    
Amy Marie Elness, CADC I/QMHA-R
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 620 Ne 2nd St, Gresham, OR 97030
Phone: 971-274-3757    Fax: 503-912-5740
Joey Owen Patton,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 750 E Powell Blvd, Gresham, OR 97030
Phone: 360-977-0450    
Mr. Sammy Travis Freshner Jr., M.ED, MAC, LPCRA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1584 Ne 8th St Ste 200, Gresham, OR 97030
Phone: 503-890-8773    
Laurie Anne Ricken, B.A.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 400 Ne 7th St, Gresham, OR 97030
Phone: 503-661-5455    
Mr. David J. Lowe, M.A., LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1890 Ne Cleveland Ave, Gresham, OR 97030
Phone: 503-492-1200    
Drake Miyake, MSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 831 Nw Council Dr Ste 300, Gresham, OR 97030
Phone: 503-258-4600    

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