ALEXANDRA DOMONIQUE VAN

TIGARD, OR
NPI1851883359
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-05-31
Last Update Date2018-05-31
Business Address
ALEXANDRA DOMONIQUE VAN
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
Mailing Address
ALEXANDRA DOMONIQUE VAN
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690