Individual
CHRISTIE L SEUMALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1151
Mailing address
PO BOX 3007, PORTLAND, OR 97208-3007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
C3248
OR
101YM0800X
Mental Health Counselor
Primary
LH60452845
WA
Other
Enumeration date
07/15/2013
Last updated
04/04/2016
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