IndividualActive
Andrew Axel, PSS, CADC-R
NPI 1205404795 · Addiction (Substance Use Disorder) Counselor · Phoenix, OR
Provider details
- NPI number
- 1205404795
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- PSS, CADC-R
- Sex
- Male
- Sole proprietor
- No
- License
- T-18-552 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Other Service Providers
Practice location
149 S Main St
Phoenix, OR 97535-6631
Phone: (541) 535-4133
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1257
Phoenix, OR 97535-1257
Registry dates
- Enumerated
- 2021-06-11
- Last updated
- 2021-11-23
- Certified
- 2021-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.