Individual provider · Type 1 NPI

Adrian Lee Furlow-Marciniak

Mental Health Counselor · Portland, OR

NPI number 1407587165 Active

Practice location

1132 SW 13th Ave
Portland, OR 97205-1703

Mailing address

17110 SE Naegeli Dr Apt 2
Portland, OR 97236-9371

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407587165

Adrian Lee Furlow-Marciniak's National Provider Identifier is 1407587165, issued on Jun 22, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 12, 2024.