Individual provider · Type 1 NPI

Laurie Louise Crandall-Bass, MA

Marriage & Family Therapist · Portland, OR

NPI number 1316111404 Active

Practice location

2410 SE 121st Ave, #216
Portland, OR 97216-4066

Call (503) 544-4402 Map

Mailing address

3424 NE Bryce St
Portland, OR 97212

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed
Mental Health Counselor 101YM0800XNone 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 1316111404

Laurie Louise Crandall-Bass, MA's National Provider Identifier is 1316111404, issued on Apr 18, 2008. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Portland, OR. The record was last updated on Nov 12, 2009.