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Individual

ANYA GABRIELLE CREA VANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-C7301

Contact information

Practice address
3500 NE MARTIN LUTHER KING JR BLVD STE 200, PORTLAND, OR 97212-2093
(503) 327-8205
Mailing address
3500 NE MARTIN LUTHER KING JR BLVD STE 200, PORTLAND, OR 97212-2093
(503) 327-8205

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
C7301
OR

Other

Enumeration date
07/03/2015
Last updated
03/22/2023
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