Individual
ANITA SUE VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 422-8865
Mailing address
7025 SW VERMONT ST, PORTLAND, OR 97223-7536
(503) 422-8865
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CO948
OR
101YM0800X
Mental Health Counselor
CO948
OR
101YP2500X
Professional Counselor
CO948
OR
Other
Enumeration date
05/05/2015
Last updated
12/31/2021
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