MR. Richard L Sansom, LPC

NPI #1861638405 in Gresham, Oregon

Provider Information

NPI Number: 1861638405
Entity Type: Individual
Name: MR. Richard L Sansom, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Jan 4, 2009
Last Updated: Jan 4, 2009

Practice Location

Address: 123 E POWELL BLVD
Address 2: SUITE # 303
City: Gresham
State: Oregon
ZIP Code: 97030-7624
Phone: (503) 784-8813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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