Individual
CHARLOTTE MARIA HAEFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
7319 N JOHN AVE STE 101, PORTLAND, OR 97203-4890
(503) 683-1009
Mailing address
4728 SE HARRISON ST, PORTLAND, OR 97215-3242
(503) 683-1009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/16/2022
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