Individual
AMELIA ELIZABETH MACKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, LPC
Contact information
Practice address
1107 7TH ST, OREGON CITY, OR 97045-2407
(360) 990-8091
Mailing address
1107 7TH ST, OREGON CITY, OR 97045-2407
(360) 990-8091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
01266
MN
101YP2500X
Professional Counselor
Primary
C3281
OR
Other
Enumeration date
03/18/2013
Last updated
02/23/2022
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