George Ivar Hannibal, LCSW, CADCI

NPI #1003866708 in Portland, Oregon

Provider Information

NPI Number
1003866708
Entity Type
Individual
Name
George Ivar Hannibal, LCSW, CADCI
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LCSW, CADCI
Enumeration Date
May 11, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
1419 NE 69TH AVE
State
Oregon
ZIP Code
97213-5301
Phone
(503) 254-1545

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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