Individual
AH-MIRAH DENISE LUCILLE RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
672 NE EVANS ST, MCMINNVILLE, OR 97128
(503) 434-7523
Mailing address
414 N MERIDIAN ST # V278, NEWBERG, OR 97132-2697
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
09/03/2019
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