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Organization
NW ANXIETY INSTITUTE, LLC
Active
Organization
NW ANXIETY INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BONIFAY LPC (LICENSED MENTAL HEALTH THERAPIST)
(503) 679-9435
Entity
Organization
Contact information
Practice address
32 NE 11TH AVE, PORTLAND, OR 97232-3001
(503) 542-7635
(503) 296-2262
Mailing address
32 NE 11TH AVE, PORTLAND, OR 97232-3001
(503) 542-7635
(503) 296-2262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C2836
OR
Other
Enumeration date
11/08/2013
Last updated
03/08/2023
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