| Creative Counseling Connection, Llc | |
|
4900 Sw Griffith Dr Ste 249 Beaverton OR 97005-4648 | |
| (503) 609-0024 | |
| Not Available |
| Full Name | Creative Counseling Connection, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4900 Sw Griffith Dr Ste 249, Beaverton, Oregon |
| Authorized Official Name and Position | Jamie Krahulec (PRESIDENT) |
| Authorized Official Contact | 5036090024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Counseling Connection, Llc 20843 Sw Skiver St Beaverton OR 97078-5477 Ph: (503) 609-0024 | Creative Counseling Connection, Llc 4900 Sw Griffith Dr Ste 249 Beaverton OR 97005-4648 Ph: (503) 609-0024 |
| NPI Number | 1508574682 |
|---|---|
| Provider Enumeration Date | 11/08/2022 |
| Last Update Date | 11/08/2022 |
| Certification Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508574682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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