| Anne C. Church, Ma, Lpc, Llc | |
|
12220 Sw 2nd St Beaverton OR 97005-2828 | |
| (971) 238-2654 | |
| Not Available |
| Full Name | Anne C. Church, Ma, Lpc, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12220 Sw 2nd St, Beaverton, Oregon |
| Authorized Official Name and Position | Anne C. Church (OWNER) |
| Authorized Official Contact | 5039712654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anne C. Church, Ma, Lpc, Llc 13320 Sw Pearl St Beaverton OR 97005-3889 Ph: (503) 320-3049 | Anne C. Church, Ma, Lpc, Llc 12220 Sw 2nd St Beaverton OR 97005-2828 Ph: (971) 238-2654 |
| NPI Number | 1467970970 |
|---|---|
| Provider Enumeration Date | 09/05/2017 |
| Last Update Date | 09/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467970970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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