TODD MERCURAL

PORTLAND, OR
NPI1568028975
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  R6234)
Additional Taxonomies101YM0800X Counselor, Mental Health
101YM0800X Counselor, Mental Health
(Licence: NE  11838)
Enumeration Date2019-05-13
Last Update Date2024-03-07
Business Address
TODD MERCURAL PLMHP, LPC-Intern
2545 NE 25TH AVE
PORTLAND, OR 97212-4839
Phone number: 503-389-0550
Mailing Address
TODD MERCURAL PLMHP, LPC-Intern
2545 NE 25TH AVE
PORTLAND, OR 97212-4839
Phone number: 503-389-0550