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Mr. Richard L Sansom, LPC
Professional Counselor in Gresham, Oregon
NPI 1861638405

Richard L Sansom is a Professional Counselor based in Gresham, OR and is specialized in Professional. Richard L Sansom practices in Gresham, OR and has the professional credentials of LPC. The NPI Number for Richard L Sansom is 1861638405 and holds a License No. C1478 (Oregon).

The current practice location address for Richard L Sansom is 123 E Powell Blvd, Gresham, OR and can be reached out via phone at 503-784-8813 and via fax at 503-666-5103.

Location: 123 E Powell Blvd, Gresham, OR, 97030-7624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861638405
Provider Name
Richard L Sansom
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
123 E Powell Blvd, Gresham, OR, 97030-7624
Phone Number
503-784-8813
Fax Number
503-666-5103
Provider Enumeration Date
01/04/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
123 E Powell Blvd
City
Gresham
State
Oregon
Zip
97030-7624
Phone Number
503-784-8813
Fax Number
503-666-5103
person
Provider Business Mailing Address Details
Address
123 E Powell Blvd
City
Gresham
State
Oregon
Zip
97030-7624
Phone Number
503-784-8813
Fax Number
503-666-5103
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
C1478 (Oregon)
Definition
Definition to come...
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