Organization
ATHELAS PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE HENNESSY LPC (MENTAL HEALTH THERAPIST)
(503) 893-9670
Entity
Organization
Contact information
Practice address
10557 SE 55TH AVE, PORTLAND, OR 97222-4308
(503) 893-9670
Mailing address
10557 SE 55TH AVE, PORTLAND, OR 97222-4308
(503) 893-9670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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