Individual
BREANNA ASHLEY MUNSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1919 BIRCH ST, FOREST GROVE, OR 97116-2431
(503) 433-6898
Mailing address
1919 BIRCH ST, FOREST GROVE, OR 97116-2431
(503) 433-6898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A5224
OR
1041C0700X
Clinical Social Worker
Primary
L10393
OR
Other
Enumeration date
08/01/2019
Last updated
01/01/2022
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