| Eastside Child And Family Therapy, Llc | |
|
320 N Main Ave Ste 201a Gresham OR 97030-7242 | |
| (503) 389-0542 | |
| (503) 405-4239 |
| Full Name | Eastside Child And Family Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 320 N Main Ave Ste 201a, Gresham, Oregon |
| Authorized Official Name and Position | Sarah Manlupig (OWNER/COUNSELOR) |
| Authorized Official Contact | 5033890542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Child And Family Therapy, Llc 320 N Main Ave Ste 201a Gresham OR 97030-7242 Ph: (503) 389-0542 | Eastside Child And Family Therapy, Llc 320 N Main Ave Ste 201a Gresham OR 97030-7242 Ph: (503) 389-0542 |
| NPI Number | 1366189797 |
|---|---|
| Provider Enumeration Date | 05/17/2022 |
| Last Update Date | 05/17/2022 |
| Certification Date | 05/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366189797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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