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Amanda Cantal, MA,LPC,CADCI
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1831373844

Amanda Cantal is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Amanda Cantal practices in Portland, OR and has the professional credentials of MA,LPC,CADCI. The NPI Number for Amanda Cantal is 1831373844 and holds a License No. C2525 (Oregon).

The current practice location address for Amanda Cantal is 12636 Se Stark St, Portland, OR and can be reached out via phone at 503-253-4600 and via fax at 503-253-4609.

Location: 12636 Se Stark St, Portland, OR, 97282-0819
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Provider Profile Details
NPI Number
1831373844
Provider Name
Amanda Cantal
Credential
MA,LPC,CADCI
Provider Entity Type
Individual
Gender
Female
Address
12636 Se Stark St, Portland, OR, 97282-0819
Phone Number
503-253-4600
Fax Number
503-253-4609
Provider Enumeration Date
12/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164936 05 OR
R0000WDBCH 01 OR MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
12636 Se Stark St
City
State
Zip
97233-1058
Phone Number
503-253-4600
Fax Number
503-253-4609
person
Provider Business Mailing Address Details
Address
12636 Se Stark St
City
State
Zip
97233-1058
Phone Number
503-253-4600
Fax Number
503-253-4609
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
09-03-07 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C2525 (Oregon)
Definition
Definition to come...
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