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BRANDY M ASCENCIO CADC I

Individual Provider (NPI-1) Active

Counselor, Addiction (Substance Use Disorder)

Provider Information

NPI Number
1780187880
Provider Type
Individual Provider (NPI-1)
Credentials
CADC I
Status
Active

Contact & Location

Address
17645 NW SAINT HELENS RD, PORTLAND, OR, 972311729
Phone
(503) 621-1069
Fax
(503) 621-0200

Specialties & Taxonomies

Counselor, Addiction (Substance Use Disorder) Primary License: OR #18-P-03

All Addresses

LOCATION

17645 NW SAINT HELENS RD

PORTLAND, OR, 972311729

(503) 621-1069

MAILING

1776 SW MADISON ST

PORTLAND, OR, 972051715

(503) 224-1044