Organization · Type 2 NPI
Therapy Experienced
Professional Counselor · Canby, OR
NPI number
1114495371
Active
Practice location
2350 SE Territorial Rd
Canby, OR 97013-9732
Fax (503) 266-7659
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
3 other providers at this address
About NPI 1114495371
Therapy Experienced's National Provider Identifier is 1114495371, issued on Nov 6, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Canby, OR. The record was last updated on Nov 6, 2018.