Frederick Douglass Staten, PH.D.,LPC,CRC,CADC is a professional counselor in Portland, OR. Frederick Douglass Staten, PH.D.,LPC,CRC,CADC NPI is 1417216730. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2415 SE 43RD AVE STE 100
PORTLAND, OR
ZIP 97206-666
Phone: (503) 230-9654
Fax: (503) 236-7166
The enumeration date for this NPI number is 5/7/2012 and was last updated on 12/13/2012.