Individual
MS. DEBRA JEAN CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
509 NE ALBERTA ST, PORTLAND, OR 97211-3976
(503) 249-7769
(503) 331-7595
Mailing address
1533 SE 54TH AVE, PORTLAND, OR 97215-3327
(503) 236-1398
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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