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Andrew Axel, PSS,CADC-R
Peer Specialist in Phoenix, Oregon
NPI 1205404795

Andrew Axel is a Peer Specialist based in Phoenix, OR. Andrew Axel practices in Phoenix, OR and has the professional credentials of PSS,CADC-R. The NPI Number for Andrew Axel is 1205404795 and holds a License No. T-18-552 (Oregon).

The current practice location address for Andrew Axel is 149 S Main St, Phoenix, OR and can be reached out via phone at 541-535-4133.

Location: 149 S Main St, Phoenix, OR, 97535-1257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205404795
Provider Name
Andrew Axel
Credential
PSS,CADC-R
Provider Entity Type
Individual
Gender
Male
Address
149 S Main St, Phoenix, OR, 97535-1257
Phone Number
541-535-4133
Fax Number
Provider Enumeration Date
06/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
149 S Main St
City
Phoenix
State
Oregon
Zip
97535-6631
Phone Number
541-535-4133
Fax Number
person
Provider Business Mailing Address Details
Address
149 S Main St
City
Phoenix
State
Oregon
Zip
97535-6631
Phone Number
541-535-4133
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
12-CRM-19 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
T-18-552 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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