Individual
CHARLYN ALICIA AUBREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC INTERN, MS
Contact information
Practice address
959 SE DIVISION ST STE 315, PORTLAND, OR 97214-4673
(503) 758-6916
Mailing address
311 NE 130TH PL, PORTLAND, OR 97230-2505
(503) 758-6916
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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