| Vancouver Integrative Counseling | |
|
811 Nw 19th Ave Ste 102 Portland OR 97209-1401 | |
| (971) 266-6910 | |
| (888) 972-3623 |
| Full Name | Vancouver Integrative Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 811 Nw 19th Ave Ste 102, Portland, Oregon |
| Authorized Official Name and Position | Athena Phillips (OWNER) |
| Authorized Official Contact | 9712666910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vancouver Integrative Counseling 811 Nw 19th Ave Ste 102 Portland OR 97209-1401 Ph: (971) 266-6910 | Vancouver Integrative Counseling 811 Nw 19th Ave Ste 102 Portland OR 97209-1401 Ph: (971) 266-6910 |
| NPI Number | 1295190247 |
|---|---|
| Provider Enumeration Date | 12/17/2015 |
| Last Update Date | 12/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295190247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L4462 (Oregon) | Primary |
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