Provider Demographics
NPI:1962652032
Name:PAWLISZYN, ALEJANDRO (LPC)
Entity Type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:
Last Name:PAWLISZYN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 SW 3RD AVE # 221-4885
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97204-2405
Mailing Address - Country:US
Mailing Address - Phone:503-928-7938
Mailing Address - Fax:
Practice Address - Street 1:VIDT 1660
Practice Address - Street 2:# 2A
Practice Address - City:BUENOS AIRES
Practice Address - State:BUENOS AIRES, ARGENTINA
Practice Address - Zip Code:0001425
Practice Address - Country:AR
Practice Address - Phone:503-928-7938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-25
Last Update Date:2022-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC4391101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional