| Guillaume Counseling Services Pc | |
|
1110 Se Alder St Ste 301 Portland OR 97214-2400 | |
| (503) 922-3360 | |
| (971) 352-4229 |
| Full Name | Guillaume Counseling Services Pc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1110 Se Alder St Ste 301, Portland, Oregon |
| Authorized Official Name and Position | Nahomie Guillaume (PRESIDENT) |
| Authorized Official Contact | 5039223360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guillaume Counseling Services Pc 20333 State Highway 249 Ste 200 Houston TX 77070-2613 Ph: (503) 922-3360 | Guillaume Counseling Services Pc 1110 Se Alder St Ste 301 Portland OR 97214-2400 Ph: (503) 922-3360 |
| NPI Number | 1417420001 |
|---|---|
| Provider Enumeration Date | 01/07/2019 |
| Last Update Date | 05/16/2025 |
| Certification Date | 05/08/2025 |
| Medicare PECOS PAC ID | 7416495429 |
|---|---|
| Medicare Enrollment ID | O20240821000981 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417420001 | NPI | - | NPPES |
| Provider Name | Nahomie Moise Guillaume |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609085661 PECOS PAC ID: 1951849967 Enrollment ID: I20240821001105 |
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