Individual provider · Type 1 NPI

Tina Marie Anctil, PhD, LPC

Mental Health Counselor · Portland, OR

NPI number 1427465376 Active

Practice location

833 SW 11th Ave, Suite 509
Portland, OR 97205-2125

Fax (503) 926-9109

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC2429 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1427465376

Tina Marie Anctil, PhD, LPC's National Provider Identifier is 1427465376, issued on Jul 11, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 11, 2014.