Individual provider · Type 1 NPI

Geovanna Alexis Carrasco

Mental Health Counselor · Tigard, OR

NPI number 1750843934 Active

Practice location

8915 SW Center St
Tigard, OR 97223-6307

Other practice locations

  • 9115 SW Oleson Rd Ste 100, Portland, OR 97223-6876 · (971) 236-0915
  • 6939 SE 116th Ave, Portland, OR 97266-4988 · (909) 731-2356

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1750843934

Geovanna Alexis Carrasco's National Provider Identifier is 1750843934, issued on Apr 4, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Jul 7, 2021.