Individual
MRS. BETHANY HELAINA PETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP, CADCII, NCC
Contact information
Practice address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 595-6456
Mailing address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 595-6456
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
101YM0800X
Mental Health Counselor
19-QMHPC-00920
OR
Other
Enumeration date
03/03/2015
Last updated
04/28/2020
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