Individual
AMY BETHPRANA NOVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2306 NE GLISAN ST., SUTIE 200, PORTLAND, OR 97232
(503) 310-6795
(503) 954-3332
Mailing address
2306 NE GLISAN ST., SUITE 200, PORTLAND, OR 97232
(503) 310-6795
(503) 954-3332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
L6816
OR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/22/2006
Last updated
01/23/2017
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