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Individual

MS. KATIE MORRIS HENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, CADCII

Contact information

Practice address
1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
(503) 731-7103
Mailing address
1516 SE GLENWOOD ST, PORTLAND, OR 97202-5659
(405) 361-1153

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18-R-42
OR
101YP2500X
Professional Counselor
2713
OK
101YP2500X
Professional Counselor
Primary
C5224
OR

Other

Enumeration date
12/17/2007
Last updated
10/08/2019
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