person
Michael Henry Lariccia, CADCI
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1033611868

Michael Henry Lariccia is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Michael Henry Lariccia practices in Portland, OR and has the professional credentials of CADCI. The NPI Number for Michael Henry Lariccia is 1033611868 and holds a License No. 21-07-10203 (Oregon).

The current practice location address for Michael Henry Lariccia is 17645 Nw Saint Helens Rd, Portland, OR and can be reached out via phone at 503-621-1069 and via fax at 503-621-0200.

Location: 17645 Nw Saint Helens Rd, Portland, OR, 97205-1715
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Provider Profile Details
NPI Number
1033611868
Provider Name
Michael Henry Lariccia
Credential
CADCI
Provider Entity Type
Individual
Gender
Male
Address
17645 Nw Saint Helens Rd, Portland, OR, 97205-1715
Phone Number
503-621-1069
Fax Number
503-621-0200
Provider Enumeration Date
03/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500743606 05 OR
institution
Provider Business Practice Location Address Details
Address
17645 Nw Saint Helens Rd
City
State
Zip
97231-1729
Phone Number
503-621-1069
Fax Number
503-621-0200
person
Provider Business Mailing Address Details
Address
17645 Nw Saint Helens Rd
City
State
Zip
97231-1729
Phone Number
503-621-1069
Fax Number
503-621-0200
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
21-07-10203 (Oregon)
Definition
Definition to come...
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