| NPI | 1457526964 |
|---|---|
| Doing Business As | SMOCKVILLE COUNSELING |
| Entity Type | Organization |
| Authorized Contact | GENE RANDOM HEAD President 503-625-2768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |