Individual
CHAR RAE CEZANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CANDIDATE
Contact information
Practice address
1215 SW 18TH AVE, PORTLAND, OR 97205-1711
(503) 893-9532
Mailing address
22 SE 11TH AVE UNIT NX410, PORTLAND, OR 97214-1360
(805) 540-8184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/18/2024
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