Individual provider · Type 1 NPI

Stephen Ross Canova

Counselor · Portland, OR

NPI number 1679945562 Active

Practice location

5100 SW Macadam Ave, Suite 400
Portland, OR 97239-6102

Mailing address

5125 NE Davis St
Portland, OR 97213-3026

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1679945562

Stephen Ross Canova's National Provider Identifier is 1679945562, issued on Oct 30, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Oct 30, 2015.