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Individual

BRONWYN ROSE HASSALL-SANTAELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1235 SE DIVISION ST STE 104, PORTLAND, OR 97202-1055
(360) 726-4141
Mailing address
3013 SE HAWTHORNE BLVD APT 410, PORTLAND, OR 97214-4180
(707) 672-9328

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/12/2024
Last updated
09/12/2024
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