Individual
MARIAH KATHLEEN HORRIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4949 S MACADAM AVE, PORTLAND, OR 97239-3912
(716) 308-2105
Mailing address
4949 S MACADAM AVE, PORTLAND, OR 97239-3912
(716) 308-2105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L10322
OR
Other
Enumeration date
09/28/2017
Last updated
07/21/2022
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