Individual provider · Type 1 NPI

Ellie Rose Antico, BA

Mental Health Counselor · Hillsboro, OR

NPI number 1386164572 Active

Practice location

4950 NE Belknap Ct Ste 205
Hillsboro, OR 97124-5115

Call (503) 560-5822 Map

Fax (888) 503-2864

Mailing address

4840 SE Naef Rd
Milwaukie, OR 97267-4037

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1386164572

Ellie Rose Antico, BA's National Provider Identifier is 1386164572, issued on Jun 20, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hillsboro, OR. The record was last updated on Jul 21, 2022.