Individual
MARY CATHERINE HENNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7180 SW FIR LOOP, SUITE 1-A, PORTLAND, OR 97223-8023
(503) 639-3009
Mailing address
7180 SW FIR LOOP, SUITE 1-A, PORTLAND, OR 97223-8023
(503) 639-3009
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1677
OR
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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