Individual provider · Type 1 NPI

Katrina Eloise Bennett

Mental Health Counselor · Portland, OR

NPI number 1124453097 Active

Practice location

1952 SE 122nd Ave
Portland, OR 97233-1304

Call (503) 726-3825 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124453097

Katrina Eloise Bennett's National Provider Identifier is 1124453097, issued on Sep 10, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 10, 2013.