Individual provider · Type 1 NPI
Marcia Souza Mattoso, M.A, MFT., NCGCII
Mental Health Counselor · Portland, OR
NPI number
1811034309
Active
Practice location
2415 SE 43rd., Suite 200
Portland, OR 97206
Mailing address
17059 SW Rivendell Dr.
Durham, OR 97224-7624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1811034309
Marcia Souza Mattoso, M.A, MFT., NCGCII's National Provider Identifier is 1811034309, issued on Jan 31, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 16, 2007.