Individual
ANDREA SANTA MARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4216 NE 22ND AVE, PORTLAND, OR 97211-5757
(520) 419-3453
Mailing address
4216 NE 22ND AVE, PORTLAND, OR 97211-5757
(520) 419-3453
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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