Collin White-Pedeaux
Collin White-Pedeaux is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2013.
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
1825 NE Glisan StPortland, OR 97232-2844
Phone: (503) 963-7676
Fax: (503) 764-9042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1508206996 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 28, 2013 |
| Last updated in NPPES | January 22, 2020 |
| Certification date | January 22, 2020 |
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