Individual
MS. CANDISS VANNA RAY JUNE MONAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8915 SW CENTER ST., TIGARD, OR 97223
(503) 901-3375
Mailing address
8915 SW CENTER ST., TIGARD, OR 97223
(503) 901-3375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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