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FREDERICK STATEN, PH.D.,LPC, CADC III

PH.D.,LPC, CADC III

Professional Counselor

NPI: 1417216730Individual

Specialties, Licenses & Credentials

Professional CounselorPrimary

Counselor — Professional

Code: 101YP2500X

LH60296096(WA)C4765(OR)
Addiction (Substance Use Disorder) Counselor

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

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Contact & Hours

Address
10920 SW BARBUR BLVD
PORTLAND, OR 97219

Quick Facts

NPI
1417216730
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
3
Locations
1

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