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Individual

MRS. MOLLEE MICHELLE HUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1217 NE BURNSIDE RD STE 401 BLDG B, GRESHAM, OR 97030-5705
(503) 666-8832
(503) 669-8641
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5405
(503) 233-2696

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1571
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164936
OR
Enumeration date
10/16/2006
Last updated
07/09/2007
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