Individual
MISS HAVA LEE DENNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3434 S KELLY AVE, PORTLAND, OR 97239
(503) 908-3012
Mailing address
3747 SE MORRISON ST, PORTLAND, OR 97214
(503) 908-3012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L8181
OR
Other
Enumeration date
07/01/2015
Last updated
07/13/2022
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