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-- BETHY MAE ANNSA --

Individual Provider (NPI-1) Active

Counselor, Mental Health

Provider Information

NPI Number
1891137816
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
801 NW WALLULA AVE, GRESHAM, OR, 970305455
Phone
(503) 726-3690

Specialties & Taxonomies

Counselor, Mental Health Primary

All Addresses

MAILING

801 NW WALLULA AVE

GRESHAM, OR, 970305455

(503) 726-3690

LOCATION

801 NW WALLULA AVE

GRESHAM, OR, 970305455

(503) 726-3690