| C.H.E.R.I.I.S.H. Counseling LLC | |
|
320 N Main Ave Ste 201d Gresham OR 97030-7242 | |
| (971) 220-2496 | |
| Not Available |
| Full Name | C.H.E.R.I.I.S.H. Counseling LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 320 N Main Ave Ste 201d, Gresham, Oregon |
| Authorized Official Name and Position | Alycia Smith (MEMBER/THERAPIST) |
| Authorized Official Contact | 9712202496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C.H.E.R.I.I.S.H. Counseling LLC 4233 Se 182nd Ave # 212 Gresham OR 97030-5082 | C.H.E.R.I.I.S.H. Counseling LLC 320 N Main Ave Ste 201d Gresham OR 97030-7242 Ph: (971) 220-2496 |
| NPI Number | 1972065571 |
|---|---|
| Provider Enumeration Date | 04/02/2019 |
| Last Update Date | 04/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972065571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Secondary |
| 1041C0700X | Social Worker - Clinical | () | Primary |
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