Individual
DESTINY TOPOLSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12511 SE RAYMOND ST, PORTLAND, OR 97236-3931
(541) 858-8170
(541) 858-8167
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PROFESSIONALLICENSE
—
Other
Enumeration date
05/22/2012
Last updated
05/16/2023
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