Individual
CHELSEA ELISE MICKELSON-WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 NW LOVEJOY ST, APT 214, PORTLAND, OR 97210-3173
(303) 250-8607
Mailing address
2240 NW LOVEJOY ST, APT 214, PORTLAND, OR 97210-3173
(303) 250-8607
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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