Individual
MRS. MAMTA BHARGAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
4351 SW VESTA ST, PORTLAND, OR 97219-7452
(480) 252-2860
Mailing address
4351 SW VESTA ST, PORTLAND, OR 97219-7452
(480) 252-2860
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C8032
OR
101YP2500X
Professional Counselor
LPC 13800
AZ
Other
Enumeration date
12/31/2008
Last updated
04/16/2025
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