Individual
MR. BRENT CICHOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
7080 SW FIR LOOP SUITE #100, TIGARD, OR 97223
(503) 620-1191
Mailing address
21214 SW LADYFERN DR., SHERWOOD, OR 97140-8907
(503) 620-1191
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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