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Individual

SELENA A BREVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17720 NE HALSEY ST STE B, PORTLAND, OR 97230-6771
(503) 654-7654
(503) 654-7333
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
(541) 858-8167

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/06/2018
Last updated
09/24/2020
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