Axel, Andrew

Axel, Andrew is an individual health care provider with primary practice located at 149 S Main St , Phoenix OR 97535-6631. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Axel, Andrew can be contacted via phone (541) 535-4133.

Contact Information

Primary practice address
149 S Main St Phoenix OR 97535-6631
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X T-18-552 Oregon
Other Service Providers / Peer Specialist 175T00000X 12-CRM-19 Oregon

Profile Details

NPI number 1205404795
LBN Legal business name Axel, Andrew
Credentials PSS, CADC-R
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2021
Last updated Nov 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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