Organization Name: | GRESHAM COUNSELING AND THERAPY LLC |
NPI Number: | 1710347158 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTEN BECK (PRESIDENT) |
Mailing Address: | 406 Ne 4th St Gresham |
State: | OR US |
Postal Code: | 970307429 |
Phone Number: | 5037669083 |
Fax Number: | 5032060959 |
NPI Enumeration Date: | 02/27/2016 |
NPI Last Update Date: | 02/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | R4038 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |