Individual
MICKEY DAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. MIN.
Contact information
Practice address
7360 SW HUNZIKER ST, SUITE 207, TIGARD, OR 97223-8288
(503) 620-3302
(503) 620-3196
Mailing address
7360 SW HUNZIKER ST, SUITE 207, TIGARD, OR 97223-8288
(503) 620-3302
(503) 620-3196
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CO881
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0306
MARRIAGE FAMILY THERAPIST
OR
01
—
CO881
PROFESSIONAL COUNSELOR
OR
Enumeration date
02/01/2007
Last updated
07/08/2007
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