Aunastasia Fantasia Marie Zsidiewicz, LICSWA, AAC, CADC I

NPI #1689142085 in Warrenton, Oregon

Provider Information

NPI Number: 1689142085
Entity Type: Individual
Name: Aunastasia Fantasia Marie Zsidiewicz, LICSWA, AAC, CADC I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSWA, AAC, CADC I
Enumeration Date: Nov 5, 2018
Last Updated: Nov 5, 2020

Practice Location

Address: 65 N HIGHWAY 101 STE 204
City: Warrenton
State: Oregon
ZIP Code: 97146-9371
Phone: (503) 325-0241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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