Individual provider · Type 1 NPI

Alexis Grace Randazzo

Counselor · Portland, OR

NPI number 1396526430 Active

Practice location

3415 SE Powell Blvd
Portland, OR 97202-3371

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1396526430

Alexis Grace Randazzo's National Provider Identifier is 1396526430, issued on Oct 12, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Oct 12, 2023.