Individual provider · Type 1 NPI

Mary Thornburg Krug, MS, LPC

Counselor · Portland, OR

NPI number 1205039633 Active

Practice location

2100 NE Broadway St, Suite 101
Portland, OR 97232-1569

Call (503) 449-9729 Map

Fax (503) 287-2801

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XC 2231 (OR)

Counselor: 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 supervision for licensure or certification.

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About NPI 1205039633

Mary Thornburg Krug, MS, LPC's National Provider Identifier is 1205039633, issued on Jun 5, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on May 26, 2014.