Individual provider · Type 1 NPI

Benjamin Ryan Deccio

Mental Health Counselor · Portland, OR

NPI number 1740941038 Active

Practice location

847 NE 19th Ave
Portland, OR 97232-2684

Mailing address

21901 S Yeoman Rd
Beavercreek, OR 97004-9658

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1740941038

Benjamin Ryan Deccio's National Provider Identifier is 1740941038, issued on Jan 7, 2022. 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 7, 2022.