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1578816260
ANDREW R PROCHNIAK
PORTLAND, OR
NPI
1578816260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C2969)
Enumeration Date
2012-10-18
Last Update Date
2012-10-18
Business Address
-- ANDREW R PROCHNIAK LPC
3583 NE BROADWAY ST
PORTLAND, OR 97232-1820
Phone number: 262-880-0560
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Mailing Address
-- ANDREW R PROCHNIAK LPC
1810 E BLACKLIDGE DR APT 321
TUCSON, AZ 85719-2772
Phone number: 262-880-0560
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