person
Chad Lewis Menicosy
Counselor in Portland, Oregon
NPI 1871126250

Chad Lewis Menicosy is a Counselor based in Portland, OR. Chad Lewis Menicosy practices in Portland, OR. The NPI Number for Chad Lewis Menicosy is 1871126250 and holds a License No. (Oregon).

The current practice location address for Chad Lewis Menicosy is 13541 Se Market St, Portland, OR and can be reached out via phone at 503-258-9734.

Location: 13541 Se Market St, Portland, OR, 97207-8459
person
Provider Profile Details
NPI Number
1871126250
Provider Name
Chad Lewis Menicosy
Credential
Provider Entity Type
Individual
Gender
Male
Address
13541 Se Market St, Portland, OR, 97207-8459
Phone Number
503-258-9734
Fax Number
Provider Enumeration Date
02/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13541 Se Market St
City
State
Zip
97233-1752
Phone Number
503-258-9734
Fax Number
person
Provider Business Mailing Address Details
Address
13541 Se Market St
City
State
Zip
97233-1752
Phone Number
503-258-9734
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
License No.
()
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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