Individual provider · Type 1 NPI

Marsha Sharyn Cristales-Fontaine

Mental Health Counselor · Portland, OR

NPI number 1609291269 Active

Practice location

1235 SE Division St
Portland, OR 97202-1099

Mailing address

12844 SW 132nd Ave
Tigard, OR 97223-1750

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC5676 (OR)
Mental Health Counselor 101YM0800XIMF 75045 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1609291269

Marsha Sharyn Cristales-Fontaine's National Provider Identifier is 1609291269, issued on Feb 19, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 28, 2020.