Individual
SUSAN ROONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LPCI
Contact information
Practice address
210 NW 17TH AVE, PORTLAND, OR 97209-2151
(503) 358-0615
Mailing address
165 SW 97TH AVE, PORTLAND, OR 97225-6903
(503) 358-0615
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R3530
OR
Other
Enumeration date
01/24/2015
Last updated
01/24/2015
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