person
Mikayla Shyanne Long
Mental Health Counselor in Tigard, Oregon
NPI 1104419027

Mikayla Shyanne Long is a Mental Health Counselor based in Beaverton, OR and is specialized in Mental Health. Mikayla Shyanne Long practices in Tigard, OR. The NPI Number for Mikayla Shyanne Long is 1104419027 and holds a License No. (Oregon).

The current practice location address for Mikayla Shyanne Long is 8915 Sw Center St, Tigard, OR and can be reached out via phone at 503-726-3690.

Location: 8915 Sw Center St, Tigard, OR, 97006-4954
person
Provider Profile Details
NPI Number
1104419027
Provider Name
Mikayla Shyanne Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
8915 Sw Center St, Tigard, OR, 97006-4954
Phone Number
503-726-3690
Fax Number
Provider Enumeration Date
02/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8915 Sw Center St
City
State
Zip
97223-6307
Phone Number
503-726-3690
Fax Number
person
Provider Business Mailing Address Details
Address
8915 Sw Center St
City
State
Zip
97223-6307
Phone Number
503-726-3690
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
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