Individual provider · Type 1 NPI

Andrew R. Prochniak, LPC

Professional Counselor · Portland, OR

NPI number 1578816260 Active

Practice location

3583 NE Broadway St
Portland, OR 97232-1820

Mailing address

1810 E Blacklidge Dr, Apt 321
Tucson, AZ 85719-2772

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC2969 (OR)

Professional Counselor: Definition to come...

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About NPI 1578816260

Andrew R. Prochniak, LPC's National Provider Identifier is 1578816260, issued on Oct 18, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Oct 18, 2012.