Individual provider · Type 1 NPI

Andrew Axel, PSS, CADC-R

Addiction (Substance Use Disorder) Counselor · Phoenix, OR

NPI number 1205404795 Active

Practice location

149 S Main St
Phoenix, OR 97535-6631

Call (541) 535-4133 Map

Mailing address

PO Box 1257
Phoenix, OR 97535-1257

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-18-552 (OR)
Peer Specialist 175T00000X12-CRM-19 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1205404795

Andrew Axel, PSS, CADC-R's National Provider Identifier is 1205404795, issued on Jun 11, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, OR. The record was last updated on Nov 23, 2021.