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Individual

JULIE MELLOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
979 TUCKER RD, HOOD RIVER, OR 97031-9591
(541) 490-2999
Mailing address
3372 BRADLEY DR, HOOD RIVER, OR 97031-9614
(541) 490-2999

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4134
OR
101YP2500X
Professional Counselor
LH 60626167
WA

Other

Enumeration date
05/27/2014
Last updated
04/24/2017
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