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Organization
WOLF PACK CONSULTING AND THERAPEUTIC SERVICES LLC
Active
Organization
WOLF PACK CONSULTING AND THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARISSA TONGUE (OPERATIONS MANAGER)
(541) 908-5287
Entity
Organization
Contact information
Practice address
16365 NW TWIN OAKS DR., BEAVERTON, OR 97006-4741
(415) 908-5287
Mailing address
16055 SW WALKER RD # 443, BEAVERTON, OR 97006-4942
(971) 344-3844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
L4228
OR
Other
Enumeration date
05/26/2017
Last updated
09/06/2024
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