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Individual

MR. JIM W VELEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S. M.A. L.P.C.

Contact information

Practice address
8305 SE MONTEREY AVE, SUITE #220, CLACKAMAS, OR 97086-7725
(503) 658-7911
Mailing address
23759 SE BONNIE LURE DR, EAGLE CREEK, OR 97022-9692
(503) 467-9948

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C-#1240
OR

Other

Enumeration date
05/15/2009
Last updated
05/15/2009
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