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Organization
MINDTREE HOLISTIC COUNSELING & WELLNESS CENTER LLC
Active
Organization
MINDTREE HOLISTIC COUNSELING & WELLNESS CENTER LLC
Active
Other names
MindTree
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SREEHARINI SUKUMARAN LMFT (OWNER / DIRECTOR)
(503) 927-1656
Entity
Organization
Contact information
Practice address
5440 SW WESTGATE DR STE 210, PORTLAND, OR 97221-2418
(503) 766-4895
(503) 716-4699
Mailing address
5440 SW WESTGATE DR STE 210, PORTLAND, OR 97221-2418
(503) 766-4895
(503) 716-4699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/21/2021
Last updated
03/29/2021
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