Individual
MOLLY VIRGINIA GROWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, CADC-I
Contact information
Practice address
521 SW 11TH AVE, PORTLAND, OR 97205-2634
(503) 238-0769
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
09-12-09
OR
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C4004
OR
Other
Enumeration date
06/06/2013
Last updated
02/04/2016
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