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Individual

MS. LAURA YANDELL MCNEIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CADCI, MA PSYCHOLOGY

Contact information

Practice address
847 NE 19TH AVE, SUITE 100, PORTLAND, OR 97232-2684
(503) 238-0769
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADCI 09-09-33
OR
101YM0800X
Mental Health Counselor
MA COUNSELING PSYCH
OR
171M00000X
Case Manager/Care Coordinator
372600000X
Adult Companion

Other

Enumeration date
07/10/2007
Last updated
03/28/2016
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