Individual
BRENDA HAWES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
6950 SW HAMPTON ST STE 334, TIGARD, OR 97223-8172
(503) 502-1987
Mailing address
5697 KENNY ST, LAKE OSWEGO, OR 97035-7011
(503) 502-1987
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
CO237
OR
Other
Enumeration date
04/23/2010
Last updated
07/25/2022
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