# 10 COLORS COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831926914
- **Authorized official:** MR. JACOB L WICKS LCSW (OWNER)
- **Authorized official phone:** (503) 893-2811

## Contact information

- **Practice address:** 1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
- **Practice address phone:** (503) 893-2811
- **Mailing address:** 1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
- **Mailing address phone:** (503) 893-2811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2024
- **Last updated:** 09/13/2024