Individual
MARISA CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 WALDEN CIR SE, ALBANY, OR 97322-5288
(406) 475-4756
Mailing address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
L17401
OR
1041C0700X
Clinical Social Worker
Primary
L17401
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/18/2018
Last updated
11/24/2025
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