Provider Demographics
NPI:1376927897
Name:AFFORDABLE PROFESSIONAL COUNSELING
Entity Type:Organization
Organization Name:AFFORDABLE PROFESSIONAL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WENZEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:503-223-8642
Mailing Address - Street 1:17150 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SANDY
Mailing Address - State:OR
Mailing Address - Zip Code:97055-9290
Mailing Address - Country:US
Mailing Address - Phone:503-223-8642
Mailing Address - Fax:
Practice Address - Street 1:17150 UNIVERSITY AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:SANDY
Practice Address - State:OR
Practice Address - Zip Code:97055-9290
Practice Address - Country:US
Practice Address - Phone:503-223-8642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1012101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty