Individual provider · Type 1 NPI

CJ Alicandro, M.S.W.

Mental Health Counselor · Portland, OR

NPI number 1205288545 Active

Practice location

847 NE 19th Ave
Portland, OR 97232-2684

Call (503) 238-0769 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Other practice locations

  • 5725 NE Prescott St, Portland, OR 97218-2275 · (503) 402-8101

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205288545

CJ Alicandro, M.S.W.'s National Provider Identifier is 1205288545, issued on Jul 11, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Dec 28, 2020.