Individual
ANDALUSIA CAPPELLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15544 S CLACKAMAS RIVER DR, OREGON CITY, OR 97045-9490
(518) 669-3868
Mailing address
15544 S CLACKAMAS RIVER DR, OREGON CITY, OR 97045-9490
(518) 669-3868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A4634
OR
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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