| In-house Counseling | |
|
10117 Se Sunnyside Rd # F1217 Clackamas OR 97015-7708 | |
| (503) 740-1971 | |
| (503) 771-2436 |
| Full Name | In-house Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10117 Se Sunnyside Rd # F1217, Clackamas, Oregon |
| Authorized Official Name and Position | Paul Gerard Krummenacker (COO) |
| Authorized Official Contact | 5039133693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| In-house Counseling 10117 Se Sunnyside Rd # F1217 Clackamas OR 97015-7708 Ph: (503) 740-1971 | In-house Counseling 10117 Se Sunnyside Rd # F1217 Clackamas OR 97015-7708 Ph: (503) 740-1971 |
| NPI Number | 1063962579 |
|---|---|
| Provider Enumeration Date | 10/07/2016 |
| Last Update Date | 10/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063962579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | L3197 (Oregon) | Primary |
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