Organization
AMANDA ANTENUCCI COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ANTENUCCI LCSW (OWNER)
(503) 893-5628
Entity
Organization
Contact information
Practice address
8414 SW BARBUR BLVD STE 203, PORTLAND, OR 97219-4018
(503) 893-5628
(503) 902-4528
Mailing address
8414 SW BARBUR BLVD STE 203, PORTLAND, OR 97219-4018
(503) 893-5628
(503) 902-4528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/22/2025
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