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1578146106
HEALING TIDES COUNSELING, LLC
PORTLAND, OR
NPI
1578146106
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Entity Type
Organization
Authorized Contact
SHANAKO DEVOLL
Owner/Therapist
503-887-6255
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-05-02
Last Update Date
2023-04-27
Business Address
HEALING TIDES COUNSELING, LLC
2450 SE BELMONT ST
PORTLAND, OR 97214-2821
Phone number: 503-887-2555
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Mailing Address
HEALING TIDES COUNSELING, LLC
3439 NE SANDY BLVD # 313
PORTLAND, OR 97232-1959
Phone number: 503-887-6255
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