Organization
NOVA COUNSELING AND CONSULTING LLC
Active
Other names
Nova Counseling and Consulting LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TINA BOUILLION LPC (PRESIDENT)
(971) 291-0626
Entity
Organization
Contact information
Practice address
333 NE RUSSELL ST STE 209, PORTLAND, OR 97212-3762
(971) 291-0626
Mailing address
5304 SE 44TH AVE, PORTLAND, OR 97206-5737
(971) 291-0626
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
06/11/2019
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