# HUMAN IN ME THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891413217
- **Authorized official:** SARAH KATHRYN DORA VANDERPOOL CSWA (MANAGER)
- **Authorized official phone:** (971) 930-6959

## Contact information

- **Practice address:** 8715 SE KNAPP ST, PORTLAND, OR 97266-5752
- **Practice address phone:** (219) 743-8280
- **Mailing address:** 8715 SE KNAPP ST, PORTLAND, OR 97266-5752
- **Mailing address phone:** (219) 743-8280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2022
- **Last updated:** 08/22/2022