Individual
ALLISON D BONIFAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
32 NE 11TH AVE, PORTLAND, OR 97232-3001
(503) 542-7635
Mailing address
32 NE 11TH AVE, PORTLAND, OR 97232-3001
(503) 542-7635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C2836
OR
Other
Enumeration date
09/27/2010
Last updated
05/24/2022
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