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Counseling Psychologist · BEAVERTON, OR

Organization Active NPI 1619057098

Taxonomy & licensure

Specialty	Code	Primary	License	State
Counseling Psychologist	103TC1900X	✓	891	OR
Mental Health Counselor	101YM0800X		—	OR
Psychologist	103T00000X		891	OR
Cognitive & Behavioral Psychologist	103TB0200X		891	OR
Clinical Psychologist	103TC0700X		891	OR
Clinical Child & Adolescent Psychologist	103TC2200X		891	OR
Marriage & Family Therapist	106H00000X		T0433	OR
Child & Adolescent Psychiatry Physician	2084P0804X		17887	OR
Adolescent and Children Mental Health Clinic/Center	261QM0855X		—	OR
Psychiatric Hospital	283Q00000X		17887	OR
Emotionally Disturbed Childrens' Residential Treatment Facility	322D00000X		—	OR

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.