Organization
INTEGRATIVE TRAUMA TREATMENT CENTER
Active
Other names
Vancouver Integrative Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
ATHENA PHILLIPS LCSW (OWNER)
(971) 266-6910
Entity
Organization
Contact information
Practice address
811 NW 19TH AVE STE 102, PORTLAND, OR 97209-1401
(971) 266-6910
(888) 972-3623
Mailing address
811 NW 19TH AVE STE 102, PORTLAND, OR 97209-1401
(971) 266-6910
(888) 972-3623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4462
OR
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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