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Organization
HAVEN COUNSELING COLLECTIVE LLC
Active
Organization
HAVEN COUNSELING COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LATORRE LCSW, CADC III (CLINICAL DIRECTOR/ OWNER)
(503) 888-1309
Entity
Organization
Contact information
Practice address
4424 NE GLISAN ST STE 22, PORTLAND, OR 97213-2331
(503) 505-1408
(503) 437-9771
Mailing address
4424 NE GLISAN ST STE 22, PORTLAND, OR 97213-2331
(503) 888-1309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
02/06/2024
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