Individual
EBONY ASHLEY FLAHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
975 SE SANDY BLVD # 100, PORTLAND, OR 97214-1399
(503) 805-7034
Mailing address
975 SE SANDY BLVD # 100, PORTLAND, OR 97214-1399
(503) 805-7034
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
C3181
OR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/27/2011
Last updated
11/27/2023
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