# C.H.E.R.I.I.S.H. COUNSELING LLC

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

## Provider details

- **NPI number:** 1972065571
- **Authorized official:** ALYCIA SMITH (MEMBER/THERAPIST)
- **Authorized official phone:** (971) 220-2496

## Contact information

- **Practice address:** 320 N MAIN AVE STE 201D, GRESHAM, OR 97030-7242
- **Practice address phone:** (971) 220-2496
- **Mailing address:** 4233 SE 182ND AVE \# 212, GRESHAM, OR 97030-5082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2019
- **Last updated:** 04/02/2019