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Individual

CAROL SUE PRICHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., LPC

Contact information

Practice address
1108 HARRISON AVE, ASTORIA, OR 97103-4019
(503) 325-8260
(503) 325-8260
Mailing address
1108 HARRISON AVE, ASTORIA, OR 97103-4019
(503) 325-8260
(503) 325-8260

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2030
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C2030
LICENSED PROFESSIONAL COUNSELOR
OR
Enumeration date
08/10/2009
Last updated
08/11/2009
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