Individual provider · Type 1 NPI

Amanda Cantal, MA, LPC, CADC I

Professional Counselor · Portland, OR

NPI number 1831373844 Active

Practice location

12636 SE Stark St, Plaza 125 Building J
Portland, OR 97233-1058

Call (503) 253-4600 Map

Fax (503) 253-4609

Mailing address

PO Box 82819
Portland, OR 97282-0819

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC2525 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400X09-03-07 (OR)

Professional Counselor: Definition to come...

11 other providers at this address

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About NPI 1831373844

Amanda Cantal, MA, LPC, CADC I's National Provider Identifier is 1831373844, issued on Dec 27, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Apr 1, 2011.