Individual
MARINA BADCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
1700 NW CIVIC DR, SUITE 310, GRESHAM, OR 97030-3770
(503) 666-8832
(503) 669-8641
Mailing address
4805 SE YAMHILL ST, PORTLAND, OR 97215-2560
(503) 319-6797
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2444
OR
Other
Enumeration date
12/22/2006
Last updated
12/19/2012
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