Organization · Type 2 NPI

Mitch Bacon LLC

Marriage & Family Therapist · Portland, OR

NPI number 1962935312 Active

Practice location

4004 SE Woodstock Blvd, #9
Portland, OR 97202-7662

Call (503) 766-5255 Map

Mailing address

7454 N Monteith Ave
Portland, OR 97203-4265

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XT1282 (OR)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1962935312

Mitch Bacon LLC's National Provider Identifier is 1962935312, issued on Apr 4, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Portland, OR. The record was last updated on Apr 4, 2017.