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1003691114
SAMMY TRAVIS FRESHNER
GRESHAM, OR
NPI
1003691114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: OR R5274)
Enumeration Date
2023-08-28
Last Update Date
2023-08-28
Business Address
MR. SAMMY TRAVIS FRESHNER M.ED, MAC, LPCRA
1584 NE 8TH ST STE 200
GRESHAM, OR 97030-5746
Phone number: 503-890-8773
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Mailing Address
MR. SAMMY TRAVIS FRESHNER M.ED, MAC, LPCRA
3650 NE ALTON CT
FAIRVIEW, OR 97024-7736
Phone number: 503-209-3995
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