Organization
WHOLE SYSTEMS COUNSELING AND CONSULTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNEEN MANNO (BUSINESS OWNER)
(503) 657-0072
Entity
Organization
Contact information
Practice address
12672 SE STARK ST BLDG A, PORTLAND, OR 97233-1058
(503) 657-0072
(503) 719-6345
Mailing address
12672 SE STARK ST BLDG A, PORTLAND, OR 97233-1058
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
387035-91
OR
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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