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1215398375
HANNAH C BACCOUCHE
PORTLAND, OR
NPI
1215398375
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Former Name
HANNAH C BYERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: professionallicense)
Enumeration Date
2016-03-16
Last Update Date
2024-01-25
Business Address
HANNAH C BACCOUCHE LBA, QMHP, RCFA
17720 NE HALSEY ST STE A
PORTLAND, OR 97230-6771
Phone number: 503-654-7654
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Mailing Address
HANNAH C BACCOUCHE LBA, QMHP, RCFA
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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