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Organization
FAMILY TIES COUNSELING CENTER
Active
Organization
FAMILY TIES COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA MANALIS LMFT (OWNER/DIRECTOR)
(503) 867-1817
Entity
Organization
Contact information
Practice address
333 S FLOWER ST, PORTLAND, OR 97239-3797
(503) 349-2281
(503) 719-8987
Mailing address
333 S FLOWER ST, PORTLAND, OR 97239-3797
(503) 349-2281
(503) 719-8987
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3076
OR
Other
Enumeration date
03/26/2014
Last updated
07/30/2024
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