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1285361527
DAVID LESLIE VANDIEST
GRESHAM, OR
NPI
1285361527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C6924)
Enumeration Date
2022-08-05
Last Update Date
2022-08-05
Business Address
DAVID LESLIE VANDIEST M.A., LPC
501 NE HOOD AVE STE 240
GRESHAM, OR 97030-7347
Phone number: 971-276-5675
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Mailing Address
DAVID LESLIE VANDIEST M.A., LPC
501 NE HOOD AVE STE 240
GRESHAM, OR 97030-7347
Phone number: 971-276-5675
Copy
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