| NPI | 1962924050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE SCHICKEDANZ Licensed Professional Counselor 503-515-7820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4459) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-07-11 |