Individual
ELLEN M O'TOOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
18100 SE 362ND DR, SANDY, OR 97055-8290
(704) 339-7204
Mailing address
18100 SE 362ND DR, SANDY, OR 97055-8290
(704) 339-7204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1094
NC
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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