Organization
CARAVAN COUNSELING - PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIVER C. DELOGU-CLARK CADC I (PROFESSIONAL COUNSELOR ASSOCIATE)
(503) 383-1309
Entity
Organization
Contact information
Practice address
11720 SE ALDER ST, PORTLAND, OR 97216-3868
(503) 383-1309
Mailing address
11720 SE ALDER ST, PORTLAND, OR 97216-3868
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
06/07/2024
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