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1356531750
JUSTIN SHULL
TIGARD, OR
NPI
1356531750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C2060)
Enumeration Date
2007-07-31
Last Update Date
2018-06-08
Business Address
JUSTIN SHULL M.A., LPC
11825 SW GREENBURG RD STE 208
TIGARD, OR 97223
Phone number: 503-608-0801
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Mailing Address
JUSTIN SHULL M.A., LPC
11825 SW GREENBURG RD STE 208
TIGARD, OR 97223-6466
Phone number:
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