Individual
CHANDLER WINGREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 SE 8TH AVE STE 212, HILLSBORO, OR 97123-4218
(503) 352-7333
(971) 266-2956
Mailing address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/29/2018
Last updated
07/26/2021
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