Individual
MELANIE B MAMOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PROF.COUNSELOR ASS.
Contact information
Practice address
9670 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3307
(971) 229-4009
(866) 324-6009
Mailing address
9670 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3307
(971) 229-4009
(866) 324-6009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OR
101YP2500X
Professional Counselor
Primary
C11222
OR
101YP2500X
Professional Counselor
Primary
R7605
OR
Other
Enumeration date
05/22/2006
Last updated
03/03/2026
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