is a Counselor in Portland, Oregon. practices all healthcare services and medical treatments related to Counselor. The NPI Number for is 1083871743. The last update date is .
's current location address is 2410 Se 121st Ave, Portland, Oregon. You can contact this provider via phone number 5033355975. The mailing address for is 2410 Se 121st Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2410 Se 121st Ave, Portland, Oregon |
| Phone Number | 5033355975 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1083871743 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2410 Se 121st Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972164066 |
| Phone Number | 5033355975 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
|
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 supe |
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