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Antonio Clifton Long-drew, LPC
Mental Health Counselor in Estacada, Oregon
NPI 1366936098

Antonio Clifton Long-drew is a Mental Health Counselor based in Estacada, OR and is specialized in Mental Health. Antonio Clifton Long-drew practices in Estacada, OR and has the professional credentials of LPC. The NPI Number for Antonio Clifton Long-drew is 1366936098 and holds a License No. R4884 (Oregon).

The current practice location address for Antonio Clifton Long-drew is 478 Nw Wade St, Estacada, OR and can be reached out via phone at 503-928-9453.

Location: 478 Nw Wade St, Estacada, OR, 97023-9744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366936098
Provider Name
Antonio Clifton Long-drew
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
478 Nw Wade St, Estacada, OR, 97023-9744
Phone Number
503-928-9453
Fax Number
Provider Enumeration Date
06/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
478 Nw Wade St
City
Estacada
State
Oregon
Zip
97023
Phone Number
503-928-9453
Fax Number
person
Provider Business Mailing Address Details
Address
478 Nw Wade St
City
Estacada
State
Oregon
Zip
97023
Phone Number
503-928-9453
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
R4884 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
R4884 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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