Individual provider · Type 1 NPI

Dana Ticker, B.A.

Marriage & Family Therapist · Portland, OR

NPI number 1235489154 Active

Practice location

4310 NE Killingsworth St
Portland, OR 97218-1404

Mailing address

1312 SW Washington St, PO Box 3007
Portland, OR 97205-2327

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1235489154

Dana Ticker, B.A.'s National Provider Identifier is 1235489154, issued on Sep 18, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Portland, OR. The record was last updated on Sep 18, 2012.