Fill Your Cupp Therapy LLC

NPI #1184450520 in Tigard, Oregon

Provider Information

NPI Number: 1184450520
Entity Type: Organization
Organization Name: Fill Your Cupp Therapy LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 11, 2024
Last Updated: Sep 19, 2024

Practice Location

Address: 14087 SW SPRINGBROOK LN
City: Tigard
State: Oregon
ZIP Code: 97223-2026
Phone: (971) 329-9568

Authorized Official

Name: ANA R CUPP
Title: LICENSED CLINICAL SOCIAL WORKER
Phone: (971) 329-9568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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