person
Mr. Brian Paul Mayta, CADCI
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1114063476

Brian Paul Mayta is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Brian Paul Mayta practices in Portland, OR and has the professional credentials of CADCI. The NPI Number for Brian Paul Mayta is 1114063476 and holds a License No. 05-03-29 (Oregon).

The current practice location address for Brian Paul Mayta is 847 Ne 19Th Ave Ste 100, Portland, OR and can be reached out via phone at 503-238-0769.

Location: 847 Ne 19Th Ave Ste 100, Portland, OR, 97207-8459
person
Provider Profile Details
NPI Number
1114063476
Provider Name
Brian Paul Mayta
Credential
CADCI
Provider Entity Type
Individual
Gender
Male
Address
847 Ne 19Th Ave Ste 100, Portland, OR, 97207-8459
Phone Number
503-238-0769
Fax Number
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
847 Ne 19Th Ave Ste 100
City
State
Zip
97232-2684
Phone Number
503-238-0769
Fax Number
person
Provider Business Mailing Address Details
Address
847 Ne 19Th Ave Ste 100
City
State
Zip
97232-2684
Phone Number
503-238-0769
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
05-03-29 (Oregon)
Definition
Definition to come...
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