IMAGINE LIFE COUNSELING AND CONSULTATION, LLC.

Clinical Social Worker

NPI: 1407306913Organization

Specialties, Licenses & Credentials

Addiction (Substance Use Disorder) Counselor

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

11-06-94(OR)

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

L4576(OR)

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Contact & Hours

Address: 2325 E BURNSIDE ST, SUITE 202
PORTLAND, OR 97214
Phone: (503) 701-2294

Quick Facts

NPI: 1407306913
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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