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1083102727
MICHAEL IANELLO
PORTLAND, OR
NPI
1083102727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: OR C6756)
Enumeration Date
2018-04-27
Last Update Date
2024-01-04
Business Address
MICHAEL IANELLO LPC
5404 N MONTANA AVE
PORTLAND, OR 97217-4557
Phone number: 971-236-1499
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Mailing Address
MICHAEL IANELLO LPC
5404 N MONTANA AVE
PORTLAND, OR 97217-4557
Phone number: 971-236-1499
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