| Ursa Major Counseling, Llc | |
|
811 Nw 20th Ave Ste 204 Portland OR 97209-1452 | |
| (208) 866-3426 | |
| Not Available |
| Full Name | Ursa Major Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 811 Nw 20th Ave Ste 204, Portland, Oregon |
| Authorized Official Name and Position | Melissa Hutchens (OWNER) |
| Authorized Official Contact | 0359743330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ursa Major Counseling, Llc 811 Nw 20th Ave Ste 204 Portland OR 97209-1452 Ph: (503) 974-3330 | Ursa Major Counseling, Llc 811 Nw 20th Ave Ste 204 Portland OR 97209-1452 Ph: (208) 866-3426 |
| NPI Number | 1609447796 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 08/18/2022 |
| Certification Date | 08/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609447796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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