Organization
TEVER NICKERSON COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TEVER NICKERSON LPC (OWNER/SUPERVISOR)
(503) 784-2377
Entity
Organization
Contact information
Practice address
3735 SE 10TH AVE, PORTLAND, OR 97202-3713
(503) 784-2377
Mailing address
3735 SE 10TH AVE, PORTLAND, OR 97202-3713
(503) 784-2377
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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