Individual
LOUISE D. NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
421 SW OAK ST, STE 520, PORTLAND, OR 97204-1817
(503) 816-4475
Mailing address
3710 SE 191ST AVE, VANCOUVER, WA 98683-1454
(619) 861-1576
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC 42416
CA
Other
Enumeration date
09/20/2006
Last updated
10/30/2007
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