Individual
AMANDA MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Mailing address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(706) 545-2495
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
566
WY
Other
Enumeration date
02/20/2012
Last updated
01/03/2023
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