Individual
CARRIE HOLLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
12 SE 14TH AVE STE 203, PORTLAND, OR 97214-1404
(503) 422-8168
Mailing address
12 SE 14TH AVE STE 203, PORTLAND, OR 97214-1404
(503) 422-8168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4482
OR
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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