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Individual

MONICA ELAINE DREWER-TABACCHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
4431 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6271
(503) 467-8398
Mailing address
6214 SE IVON ST, PORTLAND, OR 97206-1357
(503) 467-8398

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C5179
OR

Other

Enumeration date
02/04/2019
Last updated
02/04/2019
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