Individual
ERIN THERESA DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1505 NE 122ND AVE, PORTLAND, OR 97230-1911
(503) 313-7847
Mailing address
17727 SE KELLY ST, PORTLAND, OR 97236-1150
(503) 313-7847
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
L7354
OR
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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