person
Hannah C Baccouche, LBA,QMHP,RCFA
Mental Health Counselor in Portland, Oregon
NPI 1215398375

Hannah C Baccouche is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Hannah C Baccouche practices in Portland, OR and has the professional credentials of LBA,QMHP,RCFA. The NPI Number for Hannah C Baccouche is 1215398375 and holds a License No. PROFESSIONALLICENSE (Oregon).

The current practice location address for Hannah C Baccouche is 17720 Ne Halsey St Ste A, Portland, OR and can be reached out via phone at 503-654-7654 and via fax at 503-654-7333.

Location: 17720 Ne Halsey St Ste A, Portland, OR, 97504-4004
person
Provider Profile Details
NPI Number
1215398375
Provider Name
Hannah C Baccouche
Credential
LBA,QMHP,RCFA
Provider Entity Type
Individual
Gender
Female
Address
17720 Ne Halsey St Ste A, Portland, OR, 97504-4004
Phone Number
503-654-7654
Fax Number
503-654-7333
Provider Enumeration Date
03/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17720 Ne Halsey St Ste A
City
State
Zip
97230-6771
Phone Number
503-654-7654
Fax Number
503-654-7333
person
Provider Business Mailing Address Details
Address
17720 Ne Halsey St Ste A
City
State
Zip
97230-6771
Phone Number
503-654-7654
Fax Number
503-654-7333
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PROFESSIONALLICENSE ()
Definition
Definition to come...
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