Individual
MARIAH F PEEBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1438 SE DIVISION ST, PORTLAND, OR 97202-1140
(503) 548-0346
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(971) 217-9008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
25-QMHP-R3534
OR
1041C0700X
Clinical Social Worker
Primary
A16503
OR
1041C0700X
Clinical Social Worker
LCSW2120190
MA
Other
Enumeration date
05/05/2025
Last updated
05/29/2025
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