Individual
AMY GALAVIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LHMC, PMH-C
Contact information
Practice address
3407 S CORBETT AVE, PORTLAND, OR 97239-4621
(971) 717-3052
Mailing address
PO BOX 86673, PORTLAND, OR 97286-0673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C7488
OR
101YM0800X
Mental Health Counselor
LH61315779
WA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C7488
OR
101YP2500X
Professional Counselor
LH61315779
WA
Other
Enumeration date
06/09/2016
Last updated
08/15/2024
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