Individual
STEPHANIE E THOMPSON-MCCOLLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9155 SW BARNES RD., SUITE 630/631/634, PORTLAND, OR 97225-6625
(503) 216-1790
(503) 216-1790
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
361573
AL
101YP2500X
Professional Counselor
Primary
C5690
OR
Other
Enumeration date
10/27/2014
Last updated
10/01/2024
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