Individual
CANDICE GUILLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2726 19TH AVE, FOREST GROVE, OR 97116-2623
(775) 977-0276
Mailing address
43566 SW HIATT RD, FOREST GROVE, OR 97116-7113
(503) 523-8096
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R11110
OR
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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