Scout Northway, MA

NPI #1073275079 in Gresham, Oregon

Provider Information

NPI Number
1073275079
Entity Type
Individual
Name
Scout Northway, MA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
MA
Enumeration Date
Oct 7, 2021
Last Updated
Oct 7, 2021

Practice Location

Address
765 SE MOUNT HOOD HWY APT 231
State
Oregon
ZIP Code
97080-7109
Phone
(503) 833-2846

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional
Counselor - Mental HealthMental Health

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