Organization
COLLEEN SARA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN SARA MATHEW PCA, MA, NCC (OWNER)
(503) 609-0615
Entity
Organization
Contact information
Practice address
4910 SE 28TH AVE APT 267, PORTLAND, OR 97202-9413
(503) 609-0615
Mailing address
4910 SE 28TH AVE APT 267, PORTLAND, OR 97202-9413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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