ANDREW R PROCHNIAK

PORTLAND, OR
NPI1578816260
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OR  C2969)
Enumeration Date2012-10-18
Last Update Date2012-10-18
Business Address
-- ANDREW R PROCHNIAK LPC
3583 NE BROADWAY ST
PORTLAND, OR 97232-1820
Phone number: 262-880-0560
Mailing Address
-- ANDREW R PROCHNIAK LPC
1810 E BLACKLIDGE DR APT 321
TUCSON, AZ 85719-2772
Phone number: 262-880-0560