Individual
NICHOLE E HUMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2206 SE 72ND AVE, UNIT B, PORTLAND, OR 97215
(415) 621-9349
Mailing address
2206 SE 72ND AVE UNIT B, PORTLAND, OR 97215-4048
(415) 621-9349
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
121954
CA
106H00000X
Marriage & Family Therapist
Primary
T1802
OR
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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