Organization
SANKOFA COUNSELING, LLC
Active
Other names
Maynard Counseling and Consulting, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA WASHINGTON LPC (OWNER/MEMBER)
(503) 444-8214
Entity
Organization
Contact information
Practice address
5014 NE 15TH AVE, PORTLAND, OR 97211-4406
(503) 444-8214
(888) 978-8164
Mailing address
PO BOX 20127, PORTLAND, OR 97294-0127
(503) 444-8214
(888) 978-8164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C0084
OR
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500723905
—
OR
05
—
500804942
—
OR
Enumeration date
10/21/2016
Last updated
03/16/2023
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