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Individual

ALLISON AMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
9370 SW GREENBURG RD STE 321, TIGARD, OR 97223-5421
(971) 204-8965
Mailing address
6024 NE 8TH AVE, PORTLAND, OR 97211-3757

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4934
OR
101YM0800X
Mental Health Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1336626548
OR
Enumeration date
07/20/2018
Last updated
10/19/2019
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