Individual
CELESTIAL LOUISA SCIOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(310) 463-3983
Mailing address
4242 NE HALSEY ST APT 303, PORTLAND, OR 97213-1577
(310) 463-3983
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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