Organization
CONGRUENT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ITALIA HENSLEY MS (MARRIAGE AND FAMILY THERAPIST A)
(971) 221-8664
Entity
Organization
Contact information
Practice address
1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
(971) 221-8664
Mailing address
929 SE 50TH AVE, PORTLAND, OR 97215-2601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700408879
—
OR
Enumeration date
03/22/2023
Last updated
03/22/2023
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