HANNAH C BACCOUCHE LBA, QMHP, RCFA
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1215398375- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LBA, QMHP, RCFA
- Status
- Active
Contact & Location
- Address
- 8915 SW CENTER ST, TIGARD, OR, 972236307
- Phone
- (503) 726-3690
Specialties & Taxonomies
Counselor, Mental Health
Primary License: OR #professionallicense