Individual provider · Type 1 NPI
Brent Cichoski, M.A.
Professional Counselor · Tigard, OR
NPI number
1811109093
Active
Practice location
7080 SW Fir Loop Suite #100
Tigard, OR 97223
Mailing address
21214 SW Ladyfern Dr.
Sherwood, OR 97140-8907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1811109093
Brent Cichoski, M.A.'s National Provider Identifier is 1811109093, issued on May 3, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tigard, OR. The record was last updated on Jul 8, 2007.