Individual provider · Type 1 NPI

Chad Lewis Menicosy

Counselor · Portland, OR

NPI number 1871126250 Active

Practice location

13541 SE Market St
Portland, OR 97233-1752

Call (503) 258-9734 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Adult Companion 372600000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
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 1871126250

Chad Lewis Menicosy's National Provider Identifier is 1871126250, issued on Feb 13, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Apr 6, 2021.