Organization
BOYSEN COUNSELING LLC
Active
Other names
Family Roots Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KALEIGH BOYSEN-QUINATA LMFT (OWNER)
(503) 746-3373
Entity
Organization
Contact information
Practice address
7346 NE SANDY BLVD APT C, PORTLAND, OR 97213-5775
(503) 746-3373
Mailing address
7346 NE SANDY BLVD APT C, PORTLAND, OR 97213-5775
(503) 746-3373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/23/2018
Last updated
03/04/2020
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