Individual provider · Type 1 NPI

Luciano Nicolas Jr.

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1992521694 Active

Practice location

411 NE 19th Ave
Portland, OR 97232-4801

Call (971) 405-5307 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1992521694

Luciano Nicolas Jr.'s National Provider Identifier is 1992521694, issued on Nov 26, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Nov 26, 2024.