Individual
MS. MARGIE CHANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CADC-I
Contact information
Practice address
1255 NW 9TH AVE, #106, PORTLAND, OR 97209-3255
(503) 234-0985
(503) 234-0995
Mailing address
1255 NW 9TH AVE, #106, PORTLAND, OR 97209-3255
(503) 234-0985
(503) 234-0995
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C1465
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
01-03-07
OR
101YM0800X
Mental Health Counselor
C1465
OR
101YP2500X
Professional Counselor
Primary
C1465
OR
Other
Enumeration date
09/26/2006
Last updated
11/05/2007
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