Individual
STEPHANIE MICHELLE CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
827 NE ALBERTA ST., PORTLAND, OR 97211
(626) 460-0603
(971) 200-2421
Mailing address
827 NE ALBERTA ST., PORTLAND, OR 97211
(626) 460-0603
(971) 200-2421
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1596
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T1596
LICENSED MARRIAGE AND FAMILY THERAPIST
OR
Enumeration date
05/19/2014
Last updated
04/08/2021
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