Frederick Douglass Staten is a Portland, Oregon based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Frederick Douglass Staten is C2994 for Professional Counselor in Oregon. His current practice location is 2415 Se 43rd Ave Ste 100, Portland. Patients can book an appointment with him at 503-230-9654.
Frederick Douglass Staten is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Frederick Douglass Staten speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Frederick Douglass Staten
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Male
Credentials:
PH.D.,LPC,CRC,CADC
Accepts Medicare Assignment:
No
Practice Address:
2415 Se 43rd Ave Ste 100, Portland, Oregon, 97206-1666
Phone:
503-230-9654
Fax:
503-236-7166
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1417216730
NPI Enumeration Date:
07 May, 2012
NPI Last Update On:
13 Dec, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Frederick Douglass Staten are as mentioned below.
License Number
Specialization
State
Status
C2994
Professional Counselor
Oregon
Primary
Addiction (Substance Use Disorder) Counselor
Secondary
LH60296096
Professional Counselor
Washington
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 8459, Portland, Oregon
Zip:
97207-8459
Phone Number:
503-230-9654
Patients can reach Frederick Douglass Staten at 2415 Se 43rd Ave Ste 100, Portland, Oregon or can call to book an appointment on 503-230-9654. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.