Individual provider · Type 1 NPI
Kristen Ann Genzano
Professional Counselor · Portland, OR
NPI number
1679924583
Active
Practice location
8885 SW Canyon Rd Ste 215
Portland, OR 97225-3429
Mailing address
5126 NE 32nd Ave
Portland, OR 97211-6940
Other practice locations
- 5300 SE Foster Rd, Portland, OR 97206-2938 · (480) 250-5932
- 510 SW 3rd Avenue, Suite 210, Portland, OR 97204-2635 · (480) 250-5932
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 178.011112 (IL) |
| Mental Health Counselor | 101YM0800X | LH60665316 (WA) |
| Professional Counselor Primary | 101YP2500X | C4447 (OR) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1679924583
Kristen Ann Genzano's National Provider Identifier is 1679924583, issued on Jun 22, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Apr 6, 2022.