Individual provider · Type 1 NPI

Ricky Shaun Delucco

Counselor · Portland, OR

NPI number 1972708394 Active

Practice location

1304 N Emerson St Apt 5
Portland, OR 97217-3770

Call (503) 313-1299 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed
Counselor 101Y00000X372600000X (OR)

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 1972708394

Ricky Shaun Delucco's National Provider Identifier is 1972708394, issued on Jun 16, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Feb 7, 2009.