Individual
THERESA HALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9700 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3306
(503) 626-9494
Mailing address
8370 SW STEVE ST, TIGARD, OR 97223-2451
(503) 468-9655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C6567
OR
Other
Enumeration date
02/05/2020
Last updated
02/14/2022
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