Individual
KRISTIN COLABRESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7319 N JOHN AVE STE 205, PORTLAND, OR 97203-4886
(904) 699-1084
Mailing address
7319 N JOHN AVE STE 205, PORTLAND, OR 97203-4886
(904) 699-1084
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
64923
TX
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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