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1912595646
RENEE GESTALT
PORTLAND, OR
NPI
1912595646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C6917)
Enumeration Date
2021-01-07
Last Update Date
2023-12-20
Business Address
RENEE GESTALT R-DMT, LPC
11740 SW 68TH PKWY STE 200
PORTLAND, OR 97223-9058
Phone number: 425-640-7009
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Mailing Address
RENEE GESTALT R-DMT, LPC
11740 SW 68TH PKWY STE 200
PORTLAND, OR 97223-9058
Phone number: 425-640-7009
Copy
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