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Spectrum Counseling And Mental Wellness

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

NPI number1275123762
StatusActive
Last updated in NPPESJan 8, 2024

Details

NPI
1275123762
Entity type
Organization (NPI-2)
Legal business name
Spectrum Counseling And Mental Wellness
Organization subpart
No
Enumeration date
Jan 19, 2021
Certification date
Jan 8, 2024
Last updated
Jan 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes
261QM0855X Clinic/Center, Adolescent and Children Mental Health––
261QM0850X Clinic/Center, Adult Mental Health––

Practice location

1220 Sw Morrison St Ste 1201
Portland, OR 97205-2231

Phone 971-373-4497

Mailing address

101 Sw Madison St Unit 9152
Portland, OR 97204-3264

Phone 971-373-4497

Authorized official

Lilyan Smith-Moore
Chair
9713734497

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