Organization
COMMUNION COUNSELING & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANETTE CHARISSE GILLESPIE-OTTO MSW, LCSW (PRESIDENT)
(503) 482-8982
Entity
Organization
Contact information
Practice address
333 NE RUSSELL ST STE 209, PORTLAND, OR 97212-3762
(503) 482-8982
(503) 716-4742
Mailing address
911 SE 60TH AVE APT 104, PORTLAND, OR 97215-2834
(503) 482-8982
(503) 716-4742
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4020
OR
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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