GEORGE IVAR HANNIBAL

PORTLAND, OR
NPI1003866708
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  01-11-26)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: OR  L0525)
Enumeration Date2006-05-11
Last Update Date2025-09-11
Business Address
-- GEORGE IVAR HANNIBAL LCSW, CADCI
1419 NE 69TH AVE
PORTLAND, OR 97213-5301
Phone number: 503-254-1545
Mailing Address
-- GEORGE IVAR HANNIBAL LCSW, CADCI
1419 NE 69TH AVE
PORTLAND, OR 97213-5301
Phone number: 503-254-1545