Individual
JUANTAE KAROL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
619 MADISON ST, OREGON CITY, OR 97045-2354
(503) 303-4257
Mailing address
2050 NW RALEIGH ST APT 671, PORTLAND, OR 97209-2297
(321) 795-4746
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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