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Individual

JULIA PERRETTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LMFT

Contact information

Practice address
17710 NE HALSEY ST, PORTLAND, OR 97230
(503) 328-8311
Mailing address
5010 SE FOSTER RD, PORTLAND, OR 97206-3039
(503) 988-9450

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106H00000X
Marriage & Family Therapist
001672
CT
106H00000X
Marriage & Family Therapist
201998
TX
106H00000X
Marriage & Family Therapist
Primary
T1311
OR

Other

Enumeration date
05/05/2014
Last updated
02/15/2021
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