LUCIANO NICOLAS

PORTLAND, OR
NPI1992521694
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-11-26
Last Update Date2024-11-26
Business Address
LUCIANO NICOLAS
411 NE 19TH AVE
PORTLAND, OR 97232-4801
Phone number: 971-405-5307
Mailing Address
LUCIANO NICOLAS
411 NE 19TH AVE
PORTLAND, OR 97232-4801
Phone number: 971-405-5307
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