| NPI | 1720496730 |
|---|---|
| Doing Business As | RENAISSANCE COUNSELING LLC |
| Entity Type | Organization |
| Authorized Contact | CHARLES RICHARD O'BANNON Licensed Psychologist / Owner 503-618-8041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2015-09-25 |