Individual
BREHAUNA HUSTON-BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 623-9289
Mailing address
152 NW HOWARD LN, DALLAS, OR 97338-1732
(971) 289-5707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
10/22/2024
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