| Endeavor Counseling And Consultation Llc | |
|
401 Ne 19th Ave Ste 200 Portland OR 97232-4800 | |
| (503) 298-4661 | |
| (971) 288-0587 |
| Full Name | Endeavor Counseling And Consultation Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 401 Ne 19th Ave Ste 200, Portland, Oregon |
| Authorized Official Name and Position | Brianna Puetz (OWNER) |
| Authorized Official Contact | 3604904829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endeavor Counseling And Consultation Llc 401 Ne 19th Ave Ste 200 Portland OR 97232-4800 Ph: (503) 298-4661 | Endeavor Counseling And Consultation Llc 401 Ne 19th Ave Ste 200 Portland OR 97232-4800 Ph: (503) 298-4661 |
| NPI Number | 1114652633 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 07/19/2022 |
| Certification Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114652633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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