Individual
ERICA MARIE MAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC, CCTP
Contact information
Practice address
17400 SE 422ND AVE, SANDY, OR 97055-6729
(503) 705-9379
Mailing address
17400 SE 422ND AVE, SANDY, OR 97055-6729
(503) 705-9379
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4378
OR
Other
Enumeration date
11/20/2016
Last updated
12/22/2016
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