Organization
EASTSIDE CHILD AND FAMILY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH MANLUPIG LPC (OWNER/COUNSELOR)
(503) 389-0542
Entity
Organization
Contact information
Practice address
320 N MAIN AVE STE 201A, GRESHAM, OR 97030-7242
(503) 389-0542
(503) 405-4239
Mailing address
320 N MAIN AVE STE 201A, GRESHAM, OR 97030-7242
(503) 389-0542
(503) 405-4239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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