Individual
MS. MINDY KRISTINE SICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 288-9229
Mailing address
12200 SE MCLOUGHLIN BLVD, 17-302, MILWAUKIE, OR 97222-7281
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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