Individual
MONICA GRACE VANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4248 NE SKIDMORE ST, PORTLAND, OR 97218-1753
(503) 548-3396
Mailing address
4248 NE SKIDMORE ST, PORTLAND, OR 97218-1753
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1417
OR
Other
Enumeration date
06/14/2020
Last updated
06/14/2020
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