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Individual

CATHERINE ANNE CUPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
4900 SW GRIFFITH DR STE 235, BEAVERTON, OR 97005-4649
(541) 377-9011
(503) 526-3812
Mailing address
13570 SW 6TH ST, BEAVERTON, OR 97005-3869
(541) 377-9011
(503) 526-3912

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1182
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C1182
LICENCED PROFESSIONAL COUNSELOR
OR
Enumeration date
05/18/2009
Last updated
02/22/2023
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