Individual
CRYSTAL JOAN COVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 NE AINSWORTH ST, PORTLAND, OR 97211-4254
(503) 740-3352
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
A14720
OR
Other
Enumeration date
03/25/2024
Last updated
03/30/2026
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