Individual
SUSAN MARIE YOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A LPC
Contact information
Practice address
5304 SE CENTER, PORTLAND, OR 97206
(971) 269-8911
Mailing address
5304 SE CENTER, PORTLAND, OR 97206
(971) 269-8911
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261QM0850X
261QM0850X
OR
Enumeration date
10/28/2011
Last updated
09/04/2022
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