Individual
ANTHONY DICENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
946 SW VETERANS WAY STE 102, REDMOND, OR 97756-2745
(619) 300-5224
(619) 300-5224
Mailing address
946 SW VETERANS WAY STE 102, REDMOND, OR 97756-2745
(619) 300-5224
(619) 300-5224
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFC41926
CA
106H00000X
Marriage & Family Therapist
Primary
T1029
OR
Other
Enumeration date
11/15/2012
Last updated
02/15/2019
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