Organization
LIBERATION THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH KNUTSEN LCSW (OWNER)
(503) 744-7269
Entity
Organization
Contact information
Practice address
1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
(503) 744-7269
(503) 506-6974
Mailing address
4531 PARK BLVD, SAN DIEGO, CA 92116-2644
(630) 251-4458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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