Individual
EMILY ECHTENKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC III, MAC
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
8775 SW ILLAHEE CT APT B214, WILSONVILLE, OR 97070-7216
(971) 272-6672
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16-12-06
OR
101YM0800X
Mental Health Counselor
Primary
L8116
OR
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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