Individual
DANIELLE ASHLY MCWILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1524 NW 23RD AVE STE D, PORTLAND, OR 97210-2686
(503) 544-7631
Mailing address
7523 SE HOLGATE BLVD, PORTLAND, OR 97206-3359
(503) 544-7631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4219
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22685842
BUSINESS TAX ID NUMBER
—
Enumeration date
12/12/2021
Last updated
12/12/2021
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