Organization · Type 2 NPI

Therapy, Altered

Mental Health Counselor · Portland, OR

NPI number 1831964857 Active

Practice location

1110 SE Alder St Ste 301
Portland, OR 97214-2400

Call (847) 222-3060 Map

Mailing address

2030 SW Main St
Portland, OR 97205-1531

Specialties and licenses

TaxonomyCodeLicense
Drama Therapist 101200000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Psychologist 103T00000XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1831964857

Therapy, Altered's National Provider Identifier is 1831964857, issued on Nov 20, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Nov 20, 2023.