Individual provider · Type 1 NPI

Joseph Alan Waiczis, MA, LPC, CADCI

Professional Counselor · Portland, OR

NPI number 1245632215 Active

Practice location

10564 SE Washington St
Portland, OR 97216-2809

Mailing address

15411 SE Mill Plain Blvd, C-11
Vancouver, WA 98684-8998

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XC4837 (OR)

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About NPI 1245632215

Joseph Alan Waiczis, MA, LPC, CADCI's National Provider Identifier is 1245632215, issued on Sep 22, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Apr 16, 2018.