| Porchlight Custom Counseling Llc | |
|
455 S Knott St Canby OR 97013-4426 | |
| (503) 395-3301 | |
| Not Available |
| Full Name | Porchlight Custom Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 455 S Knott St, Canby, Oregon |
| Authorized Official Name and Position | Mica Richards (PART OWNER) |
| Authorized Official Contact | 5033953301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Porchlight Custom Counseling Llc Po Box 344 Turner OR 97392-0344 Ph: (503) 395-3301 | Porchlight Custom Counseling Llc 455 S Knott St Canby OR 97013-4426 Ph: (503) 395-3301 |
| NPI Number | 1871069674 |
|---|---|
| Provider Enumeration Date | 10/18/2018 |
| Last Update Date | 10/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871069674 | NPI | - | NPPES |
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