person
Mickaly Richmond
Mental Health Counselor in Portland, Oregon
NPI 1346908175

Mickaly Richmond is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Mickaly Richmond practices in Portland, OR. The NPI Number for Mickaly Richmond is 1346908175 and holds a License No. PROFESSIONALLICENSE (Oregon).

The current practice location address for Mickaly Richmond is 17710 Ne Halsey St, Portland, OR and can be reached out via phone at 971-293-3468 and via fax at 971-293-3469.

Location: 17710 Ne Halsey St, Portland, OR, 97504-4004
person
Provider Profile Details
NPI Number
1346908175
Provider Name
Mickaly Richmond
Credential
Provider Entity Type
Individual
Gender
Female
Address
17710 Ne Halsey St, Portland, OR, 97504-4004
Phone Number
971-293-3468
Fax Number
971-293-3469
Provider Enumeration Date
11/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17710 Ne Halsey St
City
State
Zip
97230-6734
Phone Number
971-293-3468
Fax Number
971-293-3469
person
Provider Business Mailing Address Details
Address
17710 Ne Halsey St
City
State
Zip
97230-6734
Phone Number
971-293-3468
Fax Number
971-293-3469
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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