Individual
DESTINY CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3880 SE 8TH AVE STE 180, PORTLAND, OR 97202-3774
(503) 545-6789
Mailing address
3880 SE 8TH AVE STE 180, PORTLAND, OR 97202-3774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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