Individual
MICHELLE DAWN CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
12636 SE STARK ST BLDG J, PORTLAND, OR 97233-1058
(503) 253-4600
(503) 253-4609
Mailing address
12636 SE STARK ST BLDG J, PORTLAND, OR 97233-1058
(503) 253-4600
(503) 253-4609
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401007719
MI
101YP2500X
Professional Counselor
Primary
C3654
OR
Other
Enumeration date
10/13/2006
Last updated
03/03/2015
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