Innovations In Counseling Inc | |
4511 Se 39th Ave Portland OR 97202-3119 | |
(503) 234-4440 | |
(503) 200-5550 |
Full Name | Innovations In Counseling Inc |
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Speciality | Social Worker - Clinical |
Location | 4511 Se 39th Ave, Portland, Oregon |
Authorized Official Name and Position | Margaret N Gonsiewski (OWNER) |
Authorized Official Contact | 5032344440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Innovations In Counseling Inc 4511 Se 39th Ave Portland OR 97202-3119 Ph: (503) 234-4440 | Innovations In Counseling Inc 4511 Se 39th Ave Portland OR 97202-3119 Ph: (503) 234-4440 |
NPI Number | 1396808515 |
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Provider Enumeration Date | 12/18/2006 |
Last Update Date | 08/19/2008 |
Identifier | Type | State | Issuer |
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1396808515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 3045 (Oregon) | Primary |
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