Individual provider · Type 1 NPI

Alex Michael Mascioli

Mental Health Counselor · Portland, OR

NPI number 1700224466 Active

Practice location

3415 SE Powell Blvd
Portland, OR 97202-3371

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1700224466

Alex Michael Mascioli's National Provider Identifier is 1700224466, issued on Jun 4, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 4, 2013.