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Michael David Atkins, PCA

Counselor, Mental Health in Gresham, OR. Individual provider (NPI-1).

NPI number1811635378
StatusActive
Last updated in NPPESApr 5, 2024

Details

NPI
1811635378
Entity type
Individual (NPI-1)
Name
Michael David Atkins
Credential
PCA
Sex
Male
Sole proprietor
Yes
Enumeration date
May 24, 2022
Certification date
Apr 2, 2024
Last updated
Apr 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthC8088ORYes

Practice location

286 Nw Overlook Ct
Gresham, OR 97030-6919

Phone 971-334-4783

Mailing address

286 Nw Overlook Ct
Gresham, OR 97030-6919

Phone 971-334-4783

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