Individual
DENIELLE EDLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22018 S CENTRAL POINT RD, CANBY, OR 97013-8705
(503) 221-4531
Mailing address
4622 SW GREENHILLS WAY, PORTLAND, OR 97221-3274
(339) 236-0956
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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