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Aqueelah F Bolden-mccoy, PSS
Mental Health Counselor in Gresham, Oregon
NPI 1639556962

Aqueelah F Bolden-mccoy is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Aqueelah F Bolden-mccoy practices in Gresham, OR and has the professional credentials of PSS. The NPI Number for Aqueelah F Bolden-mccoy is 1639556962 and holds a License No. CG60487815 (Oregon).

The current practice location address for Aqueelah F Bolden-mccoy is 620 Ne 2Nd St, Gresham, OR and can be reached out via phone at 971-274-3757 and via fax at 503-912-5740.

Location: 620 Ne 2Nd St, Gresham, OR, 97205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639556962
Provider Name
Aqueelah F Bolden-mccoy
Credential
PSS
Provider Entity Type
Individual
Gender
Female
Address
620 Ne 2Nd St, Gresham, OR, 97205
Phone Number
971-274-3757
Fax Number
503-912-5740
Provider Enumeration Date
05/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
620 Ne 2Nd St
City
Gresham
State
Oregon
Zip
97030
Phone Number
971-274-3757
Fax Number
503-912-5740
person
Provider Business Mailing Address Details
Address
620 Ne 2Nd St
City
Gresham
State
Oregon
Zip
97030
Phone Number
971-274-3757
Fax Number
503-912-5740
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Oregon)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CG60487815 (Washington)
Definition
Definition to come...
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