Organization
ANNE C. CHURCH, MA, LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE C. CHURCH MA, LPC, CADC II (OWNER)
(503) 971-2654
Entity
Organization
Contact information
Practice address
12220 SW 2ND ST, BEAVERTON, OR 97005-2828
(971) 238-2654
Mailing address
13320 SW PEARL ST, BEAVERTON, OR 97005-3889
(503) 320-3049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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