Organization
CASUAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY RAE HERNANDEZ LICSW, LCSW (CLINICAL SOCIAL WORKER)
(707) 210-2734
Entity
Organization
Contact information
Practice address
4531 SE BELMONT ST STE 204, PORTLAND, OR 97215-1675
(707) 210-2734
Mailing address
4531 SE BELMONT ST STE 204, PORTLAND, OR 97215-1675
(707) 210-2734
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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