Organization
CULTURED CARE LLC
Active
Other names
Cultured Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEFFANNIE ROACHE MS, LPC (OWNER/OPERATOR)
(971) 717-2307
Entity
Organization
Contact information
Practice address
6745 SW HAMPTON ST STE 200, TIGARD, OR 97223-8360
(877) 301-9077
(866) 959-3177
Mailing address
6745 SW HAMPTON ST STE 200, TIGARD, OR 97223-8360
(877) 301-9077
(866) 959-3177
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
12/03/2020
Last updated
01/08/2021
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