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ANDRE ALYESKA

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1598208902

Individual Registrant:
 ANDRE  ALYESKA 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4455 NE HIGHWAY 20  CORVALLIS, OR 97330-9695 US
Tel: 541-758-5900  Fax: --

Contact information for business:
3415 SE POWELL BLVD  PORTLAND, OR 97202-3371 US
Tel: 503-234-9591  Fax: --

Registration Information:
NPI: 1598208902
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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