| Nova Counseling And Consulting Llc | |
|
333 Ne Russell St Ste 209 Portland OR 97212-3762 | |
| (971) 291-0626 | |
| Not Available |
| Full Name | Nova Counseling And Consulting Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 333 Ne Russell St Ste 209, Portland, Oregon |
| Authorized Official Name and Position | Tina Bouillion (PRESIDENT) |
| Authorized Official Contact | 9712910626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Counseling And Consulting Llc 5304 Se 44th Ave Portland OR 97206-5737 Ph: (971) 291-0626 | Nova Counseling And Consulting Llc 333 Ne Russell St Ste 209 Portland OR 97212-3762 Ph: (971) 291-0626 |
| NPI Number | 1033678461 |
|---|---|
| Provider Enumeration Date | 03/15/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033678461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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