Individual
PALMA AZUCENA CORRAL SOTELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCA
Contact information
Practice address
2232 NW EVERETT ST APT 21, PORTLAND, OR 97210-5516
(503) 310-6276
Mailing address
2232 NW EVERETT ST APT 21, PORTLAND, OR 97210-5516
(503) 310-6276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R8413
OR
101YP2500X
Professional Counselor
Primary
R8413
OR
Other
Enumeration date
07/20/2023
Last updated
07/17/2026
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