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Organization
YOUTH VILLAGES
Active
Organization
YOUTH VILLAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERENICE MENDOZA CABELLO MSW,QMHP (BILINGUAL INTERCEPT SPECIALIST)
(503) 974-5816
Entity
Organization
Contact information
Practice address
15544 S CLACKAMAS RIVER DR, OREGON CITY, OR 97045-9490
(503) 974-5816
(503) 607-0211
Mailing address
15544 S CLACKAMAS RIVER DR, OREGON CITY, OR 97045-9490
(503) 974-5816
(503) 607-0211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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