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Organization
IN BETWEEN THERAPY COLLECTIVE LLC
Active
Organization
IN BETWEEN THERAPY COLLECTIVE LLC
Active
Other names
in between therapy collective
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ADAMS (AUTHORIZED OFFICIAL)
(207) 504-6405
Entity
Organization
Contact information
Practice address
3726 SE LAFAYETTE CT, PORTLAND, OR 97202-1874
(207) 504-6405
Mailing address
PO BOX 15240, PORTLAND, OR 97293-5240
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500796881
—
OR
Enumeration date
02/24/2023
Last updated
02/24/2023
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