Individual
MAEGAN CARNEW MEGGINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT, LPC, CST
Contact information
Practice address
2923 NE BROADWAY ST, PORTLAND, OR 97232
(503) 941-0856
Mailing address
1601 NE HOLMAN ST, PORTLAND, OR 97211-4851
(832) 665-4640
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202072
TX
Other
Enumeration date
09/26/2013
Last updated
06/09/2019
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