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Individual

MR. ROBERT JAMES PICARIELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LMFT, CADC II

Contact information

Practice address
1962 NW KEARNEY ST, #205, PORTLAND, OR 97209-1400
(971) 238-7777
Mailing address
1962 NW KEARNEY ST, #205, PORTLAND, OR 97209-1400
(971) 238-7777

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12R-01
OR
106H00000X
Marriage & Family Therapist
Primary
T0569
OR

Other

Enumeration date
10/02/2014
Last updated
10/02/2014
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