Organization
INTEGRATIVE TRAUMA TREATMENT CENTER, LLC
Active
Parent organization
INTEGRATIVE TRAUMA TREATMENT CENTER
Other names
Vancouver Integrative Counseling
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATIVE TRAUMA TREATMENT CENTER
Authorized official
ATHENA PHILLIPS LCSW (OWNER)
(503) 819-4181
Entity
Organization
Contact information
Practice address
811 NW 19TH AVE STE 102, PORTLAND, OR 97209-1401
(971) 266-6910
(888) 972-3623
Mailing address
811 NW 19TH AVE STE 102, PORTLAND, OR 97209-1401
(971) 266-6910
(888) 972-3623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4462
OR
Other
Enumeration date
11/16/2012
Last updated
11/30/2015
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