Individual
SELENA ANGELIQUE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3690
Mailing address
600 NE 100TH AVE APT 70W, PORTLAND, OR 97220-4493
(971) 407-8833
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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