Individual
BRITTANY MONAE WAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 NW 19TH AVE STE 102, PORTLAND, OR 97209-1401
(971) 266-6910
Mailing address
1061 NE 9TH AVE APT 309, PORTLAND, OR 97232-3494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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