Individual
MRS. PAMELA WALKER VREDEVELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
333 SE 223RD AVE, SUITE 204, GRESHAM, OR 97030-7454
(503) 661-7733
(503) 661-7890
Mailing address
1558 SW WALTERS LOOP, GRESHAM, OR 97080-5322
(503) 661-7733
(503) 661-7890
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC CO280
OR
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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