Organization
CIRCLE OF HEALING COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN PEREZ LCSW (LCSW, THERAPIST, MEMBER)
(503) 901-5798
Entity
Organization
Contact information
Practice address
5819 N GREELEY AVE STE 102, PORTLAND, OR 97217-4159
(503) 901-5798
Mailing address
5819 N GREELEY AVE STE 102, PORTLAND, OR 97217-4159
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
L4805
OR
1041C0700X
Clinical Social Worker
Primary
L4805
OR
Other
Enumeration date
05/17/2017
Last updated
05/18/2017
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