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Individual

MICHELE ROBIN LOVELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-9240
Mailing address
40903 NE CEDAR RIDGE RD, AMBOY, WA 98601-4325
(360) 702-6433

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
10/07/2024
Last updated
10/07/2024
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