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Living Well Counseling Center, LLC

Counselor, Mental Health in Portland, OR. Organization (NPI-2).

NPI number1013763770
StatusActive
Last updated in NPPESApr 24, 2024

Details

NPI
1013763770
Entity type
Organization (NPI-2)
Legal business name
Living Well Counseling Center, LLC
Organization subpart
No
Enumeration date
Apr 24, 2024
Certification date
Apr 24, 2024
Last updated
Apr 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

10580 Sw McDonald St Ste 202
Portland, OR 97224-4800

Phone 971-242-4155

Mailing address

12395 Sw Winterview Dr
Tigard, OR 97224-0710

Phone 503-708-3631

Authorized official

Emily Brems
Owner/Director
5034310022

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