Individual
MS. SUSAN MARIE HAUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3915 SE STEELE ST, PORTLAND, OR 97202-4263
(503) 799-7666
Mailing address
PO BOX 765, FAIRVIEW, OR 97024-0765
(503) 799-7666
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2675
OR
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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