Individual provider · Type 1 NPI

Theresa Daniele Holloway

Mental Health Counselor · Tigard, OR

NPI number 1174040588 Active

Practice location

8915 SW Center St
Tigard, OR 97223-6307

Call (503) 501-5322 Map

Mailing address

14201 E Burnside St
Portland, OR 97233-1884

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1174040588

Theresa Daniele Holloway's National Provider Identifier is 1174040588, issued on Aug 25, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Aug 25, 2017.