Organization · NPI-2

10 Colors Counseling LLC

Social Worker, Clinical · Portland, OR

NPI number1831926914
StatusActive
Last updated in NPPESSep 13, 2024

Details

NPI
1831926914
Entity type
Organization (NPI-2)
Legal business name
10 Colors Counseling LLC
Organization subpart
No
Enumeration date
Sep 13, 2024
Certification date
Sep 13, 2024
Last updated
Sep 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

1110 Se Alder St Ste 301
Portland, OR 97214-2400

Phone 503-893-2811

Mailing address

1110 Se Alder St Ste 301
Portland, OR 97214-2400

Phone 503-893-2811

Authorized official

Jacob L Wicks
Owner
5038932811

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Social Worker, Clinical providers in Portland, OR