Organization
CATHEDRAL PARK COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE ROSE LCSW, LICSW (OWNER)
(503) 841-1311
Entity
Organization
Contact information
Practice address
7319 N JOHN AVE STE 101, PORTLAND, OR 97203-4890
(503) 841-1131
Mailing address
8913 N SENECA ST, PORTLAND, OR 97203-2232
(503) 841-1311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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