Individual
ANDREW R PROCHNIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3583 NE BROADWAY ST, PORTLAND, OR 97232-1820
(262) 880-0560
Mailing address
1810 E BLACKLIDGE DR, APT 321, TUCSON, AZ 85719-2772
(262) 880-0560
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2969
OR
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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