Individual provider · Type 1 NPI

Philip Leo Yassenoff, LPCC

Mental Health Counselor · Portland, OR

NPI number 1659590347 Active

Practice location

2415 SE 43rd Ave Ste 200
Portland, OR 97206-1671

Fax (503) 239-5953

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XE0002338 (OH)
Mental Health Counselor Primary 101YM0800X2338 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1659590347

Philip Leo Yassenoff, LPCC's National Provider Identifier is 1659590347, issued on Apr 24, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Mar 27, 2012.