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Individual

SANDEEP VIJAY KUMAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
3050 SE DIVISION ST, PORTLAND, OR 97202-1898
(971) 277-1027
Mailing address
3050 SE DIVISION ST, PORTLAND, OR 97202-1898
(971) 277-1027

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3405
OR

Other

Enumeration date
09/25/2020
Last updated
09/25/2020
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