Individual
CECILE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LPN
Contact information
Practice address
1610 WOODS CT, HOOD RIVER, OR 97031-2911
(541) 386-2620
(541) 386-6075
Mailing address
1610 WOODS CT, HOOD RIVER, OR 97031-2911
(541) 386-2620
(541) 386-6075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
C2182
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139670
—
OR
Enumeration date
01/30/2012
Last updated
11/05/2023
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