Individual provider · Type 1 NPI

Timothy Gazdziak, LPC

Mental Health Counselor · Gresham, OR

NPI number 1083814677 Active

Practice location

1700 NW Civic Dr, Suite 310
Gresham, OR 97030-3770

Call (503) 666-8832 Map

Fax (503) 669-8641

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XC2938 (OR)
Mental Health Counselor Primary 101YM0800XC2938 (OR)
Professional Counselor 101YP2500XC2938 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1083814677

Timothy Gazdziak, LPC's National Provider Identifier is 1083814677, issued on Jul 20, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gresham, OR. The record was last updated on Mar 15, 2013.