Individual
MR. RALPH ANTHONY HUERTA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, CADC1
Contact information
Practice address
1904 SE DIVISION ST, PORTLAND, OR 97202-1146
(503) 517-8663
Mailing address
1904 SE DIVISION ST, PORTLAND, OR 97202-1146
(503) 517-8663
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L10509
OR
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/26/2013
Last updated
07/21/2022
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