Organization
HEARTS MADE WHOLE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. USHIRIKA V. JOHNSON M.A (LICENSED PROFESSIONAL COUNSELOR)
(503) 906-7912
Entity
Organization
Contact information
Practice address
12725 SW MILLIKAN WAY STE 300, BEAVERTON, OR 97005-1687
(503) 906-7912
Mailing address
12725 SW MILLIKAN WAY STE 300, BEAVERTON, OR 97005-1687
(503) 906-7912
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3740
OR
Other
Enumeration date
01/25/2016
Last updated
05/12/2016
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