| NPI | 1588358600 |
|---|---|
| Former Legal Business Name | ANICCA COUNSELING, LLC |
| Entity Type | Organization |
| Authorized Contact | VANESSA SOMOHANO Psychologist 971-236-6804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2024-03-28 |