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1326460130
DANIEL MCNICHOLAS
PORTLAND, OR
NPI
1326460130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-01-13
Last Update Date
2022-01-29
Business Address
DANIEL MCNICHOLAS
1507 NE 122ND AVE
PORTLAND, OR 97230-1911
Phone number: 503-258-4599
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Mailing Address
DANIEL MCNICHOLAS
1507 NE 122ND AVE
PORTLAND, OR 97230-1911
Phone number:
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