Individual
CAITLYN CHEYENNE HARDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1942 NW KEARNEY ST, PORTLAND, OR 97209-1426
(971) 254-1357
Mailing address
1942 NW KEARNEY ST STE 11, PORTLAND, OR 97209-1463
(503) 388-9072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
R8373
OR
Other
Enumeration date
03/29/2022
Last updated
12/30/2024
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