Individual
ANNA A BERARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
15930 SW STRATFORD LOOP, TIGARD, OR 97224-5556
(503) 639-4404
Mailing address
15930 SW STRATFORD LOOP, TIGARD, OR 97224-5556
(503) 639-4404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1710
OR
106H00000X
Marriage & Family Therapist
MFC31103
CA
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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