Clatsop County

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Harm Reduction Syringe Exchange Program 

Syringe Service Exchange every Thursday in Seaside, Warrenton*, and Astoria

*Starting July 6th, 2023, there will no longer be services provided at the Warrenton location and hours will be extended in Seaside (11:30am-1pm) and Astoria (2p-3:30p)

Need Naloxone?

  • Clatsop County Department of Public Health 820 Exchange St., Suite 100, Astoria, OR 97103 Open Monday – Friday, 8:45am-12:00pm & 1:00pm-5:00pm
  • Weekly Harm Reduction Syringe Exchange Service (Thursdays)
  • Local pharmacies
  • If your organization would like Naloxone training, contact Harm Reduction Coordinator, Jenna King, jking@clatsopcounty.gov.

Drug and Alcohol Counseling 

Mel Langston Professional Services
Mental Health, addiction, trauma, and PTSD, family conflict, teens
Phone: (503)406-3901 
E-mail:  mel@mellangston.com
Sandalwood Counseling 
Substance abuse, life coaching, relationship issues, teens 
Phone: (503)567-5331
New Beginnings Addiction
Alcohol abuse 
Phone: (503) 444-9442 
E-mail: jbeerger@yahoo.com
Choices Counseling LLC
Phone: (503) 325-4499 
Clatsop Behavioral Healthcare 
Addiction, alcohol abuse, mental health, accepts teens 
Phone: (503) 325- 5722 
Potentials LLC 
Substance abuse, anxiety, codependency 
Phone: (503) 325-2398

Medicated Assisted Treatment

CODA Phone: (503) 239-8400
Dr. Kimberly EltzrothSuboxonePhone: (503) 325-7800
North Coast Medical Clinic Dr. Joseph McCarthy Suboxone & Vivitrol, primary care Phone: (503) 568-7497
Clatsop Behavioral Health Phone: (503) 325-5722 ext. 261 
Choices Counseling LLC20 Basin Street, Suite 120, Astoria, OR.Naloxone training (including the nasal spray Narcan) by appointment only at ChoicesPhone: (503) 325-4499

In-Patient Treatment Facilities

Awakenings By The Sea
Phone: 1-877-591-2005

Intensive Outpatient Treatment 

Helping Hands 
Emergency and long term shelter plus re-entry program 
Phone: (503) 738-4321

Sober Living Facilities

Helping Hands 
Emergency and long term shelter plus re-entry program 
Phone: (503) 738-4321
Oxford House 
Phone: (503) 861-8568
Astoria Rescue Mission 
Men and women 
Phone: (503) 325-6243