Individual
MICHELLE VOSIKA-COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CHT
Contact information
Practice address
5605 N WILLIAMS AVE, PORTLAND, OR 97217-2454
(503) 208-6390
Mailing address
5605 N WILLIAMS AVE, PORTLAND, OR 97217-2454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C7344
OR
Other
Enumeration date
05/24/2017
Last updated
03/25/2023
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