Individual
MRS. AMY MICHELLE CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4300 NE FREMONT ST STE 260, PORTLAND, OR 97213-1100
(503) 866-3971
Mailing address
4300 NE FREMONT ST STE 260, PORTLAND, OR 97213-1100
(503) 866-3971
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1676
OR
Other
Enumeration date
05/04/2006
Last updated
08/10/2022
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