Porchlight Custom Counseling LLC
Counselor, Mental Health in Canby, OR. Organization (NPI-2).
NPI number1871069674
StatusActive
Last updated in NPPESOct 18, 2018
Details
- NPI
- 1871069674
- Entity type
- Organization (NPI-2)
- Legal business name
- Porchlight Custom Counseling LLC
- Organization subpart
- No
- Enumeration date
- Oct 18, 2018
- Last updated
- Oct 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 103K00000X | Behavior Analyst | – | – |
Practice location
455 S Knott StCanby, OR 97013-4426
Phone 503-395-3301
Mailing address
Po Box 344Turner, OR 97392-0344
Phone 503-395-3301
Authorized official
Mica Richards
Part Owner
5033953301
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