Organization
MEREDITH MIRSEPASSI COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH MIRSEPASSI LPC, CADCI (SOLE PROPRIETOR)
(503) 544-7962
Entity
Organization
Contact information
Practice address
25030 SW PARKWAY AVE STE 1045, WILSONVILLE, OR 97070-9603
(503) 544-7962
Mailing address
25030 SW PARKWAY AVE STE 1045, WILSONVILLE, OR 97070-9603
(503) 544-7962
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
C4140
OR
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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