Organization · Type 2 NPI

Eternal Blossom Counseling LLC

Clinical Social Worker · Portland, OR

NPI number 1104389170 Active

Practice location

4531 SE Belmont St Ste 310
Portland, OR 97215-1675

Mailing address

3335 SE 69th Ave
Portland, OR 97206-2613

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104389170

Eternal Blossom Counseling LLC's National Provider Identifier is 1104389170, issued on Apr 8, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Apr 8, 2019.