Individual
AMY AULICK GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MDIV, MFT
Contact information
Practice address
9241 SW 2ND AVE, PORTLAND, OR 97219-4805
(567) 203-2118
Mailing address
9241 SW 2ND AVE, PORTLAND, OR 97219-4805
(567) 203-2118
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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