| Maple Counseling Llc | |
|
5319 Sw Westgate Dr Ste 241 Portland OR 97221-2432 | |
| (503) 360-6656 | |
| (866) 598-4097 |
| Full Name | Maple Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 5319 Sw Westgate Dr Ste 241, Portland, Oregon |
| Authorized Official Name and Position | Benita Katrin Munson (OWNER/THERAPIST) |
| Authorized Official Contact | 5033606656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Counseling Llc 7810 Sw Gearhart Dr Beaverton OR 97007-5979 Ph: (503) 360-6656 | Maple Counseling Llc 5319 Sw Westgate Dr Ste 241 Portland OR 97221-2432 Ph: (503) 360-6656 |
| NPI Number | 1730947433 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/07/2024 |
| Medicare PECOS PAC ID | 5395182265 |
|---|---|
| Medicare Enrollment ID | O20240327002233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730947433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Benita Katrin Munson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356700629 PECOS PAC ID: 2769829639 Enrollment ID: I20240327002190 |
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