Individual
MR. DARYL EDWARD THRASHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHA-R, CADC-R
Contact information
Practice address
3374 SE HOLGATE BLVD, PORTLAND, OR 97202-3459
(818) 642-8508
Mailing address
3374 SE HOLGATE BLVD, PORTLAND, OR 97202-3459
(818) 642-8508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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