Individual
MICHELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4117 SE LEXINGTON ST, PORTLAND, OR 97202-7928
(562) 706-5111
Mailing address
4117 SE LEXINGTON ST, PORTLAND, OR 97202-7928
(562) 706-5111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/04/2012
Last updated
05/25/2012
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