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Organization
NANI WADDOUPS COUNSELING
Active
Organization
NANI WADDOUPS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANI WADDOUPS LPC (OWNER)
(503) 784-6214
Entity
Organization
Contact information
Practice address
819 SE MORRISON ST STE 220, PORTLAND, OR 97214-6310
(503) 784-6214
Mailing address
819 SE MORRISON ST STE 220, PORTLAND, OR 97214-6310
(503) 784-6214
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3879
OR
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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