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AQUEELAH F BOLDEN-MCCOY PSS

PSS

Mental Health Counselor

NPI: 1639556962Individual

Specialties, Licenses & Credentials

Counselor

Counselor

Code: 101Y00000X

CG60487815(WA)
Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

THW000002697(OR)

Contact & Hours

Address
620 NE 2ND ST
GRESHAM, OR 97030

Quick Facts

NPI
1639556962
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
3
Locations
1

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