Individual
JOSEPH ALAN WAICZIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CADCI
Contact information
Practice address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 228-9229
Mailing address
15411 SE MILL PLAIN BLVD, C-11, VANCOUVER, WA 98684-8998
(360) 213-9550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C4837
OR
Other
Enumeration date
09/22/2014
Last updated
04/16/2018
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