Organization
ICARUS COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY GAGLIARDO LCSW (OWNER THERAPIST)
(503) 581-7550
Entity
Organization
Contact information
Practice address
161 HIGH ST SE STE 204, SALEM, OR 97301-3610
(503) 581-7550
(503) 581-7550
Mailing address
161 HIGH ST SE STE 204, SALEM, OR 97301-3610
(503) 581-7550
(503) 581-7550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
L0280
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
L0280
OR
101YM0800X
Mental Health Counselor
L0280
OR
Other
Enumeration date
10/24/2006
Last updated
09/11/2025
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