Organization
BOTH-AND COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER ASAADI LPC (MENTAL HEALTH COUNSELOR)
(503) 957-2544
Entity
Organization
Contact information
Practice address
224 NE 28TH AVE, PORTLAND, OR 97232
(503) 957-2544
Mailing address
PO BOX 12154, PORTLAND, OR 97212-0154
(408) 250-3134
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
C4454
OR
Other
Enumeration date
11/16/2017
Last updated
07/26/2019
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