Individual provider · Type 1 NPI

Benjamin Dicristina

Mental Health Counselor · Portland, OR

NPI number 1619207198 Active

Practice location

3550 SE Woodward St
Portland, OR 97202-1552

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1619207198

Benjamin Dicristina's National Provider Identifier is 1619207198, issued on Jan 6, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 6, 2010.