Individual
MR. RICHARD L SANSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
123 E POWELL BLVD, SUITE # 303, GRESHAM, OR 97030-7624
(503) 784-8813
(503) 666-5103
Mailing address
123 E POWELL BLVD, SUITE # 303, GRESHAM, OR 97030-7624
(503) 784-8813
(503) 666-5103
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1478
OR
Other
Enumeration date
01/04/2009
Last updated
01/04/2009
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