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Organization
HARVEST WELLNESS COUNSELING LLC
Active
Organization
HARVEST WELLNESS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN WILSON LPC (DIRECTOR)
(503) 567-9346
Entity
Organization
Contact information
Practice address
2604 NE MULTNOMAH ST, PORTLAND, OR 97232-2130
(503) 567-9346
Mailing address
5441 S MACADAM AVE STE A, PORTLAND, OR 97239-3822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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