Individual
BRITTANY R WIENHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3939 NE HANCOCK ST., SUITE 211, PORTLAND, OR 97212
(971) 940-6729
(503) 200-1105
Mailing address
3939 NE HANCOCK ST., SUITE 211, PORTLAND, OR 97212
(971) 940-6729
(503) 200-1105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7327
OR
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500679023
—
OR
Enumeration date
06/24/2014
Last updated
07/21/2022
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