Individual
REBECCA RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, QMHP
Contact information
Practice address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1150
Mailing address
PO BOX 3007, PORTLAND, OR 97208-3007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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