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Organization

THE GOOD PRACTICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONICA PROVENCE MA, LMFT (OWNER)
(323) 422-2867
Entity
Organization

Contact information

Practice address
24780 S BEAVERCREEK RD, BEAVERCREEK, OR 97004-8629
(323) 422-2867
Mailing address
4141 NE 65TH AVE, PORTLAND, OR 97218-3225
(323) 422-2867

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
04/29/2026
Last updated
04/29/2026
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