MINDMAP LLC
Organization (NPI-2)
Active
Marriage & Family Therapist
Provider Information
- NPI Number
1720491616- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4003 NE GRAND AVE, PORTLAND, OR, 972121109
- Phone
- (503) 970-2522
- Fax
- (503) 387-3253
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
License: VA #507580
Marriage & Family Therapist
Primary License: OR #T0555