Individual
AARON CONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I, LPC-A
Contact information
Practice address
11740 SW 68TH PKWY STE 200, PORTLAND, OR 97223-9058
(503) 928-7264
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 928-7264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C7781
OR
Other
Enumeration date
05/05/2016
Last updated
11/14/2023
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