MENTAL HEALTH & ADDICTION THERAPY, LLC
Mental Health at 10 Ave, Portland, OR

License number
Oregon 11-03-20
Category
Social Work
Type
Addiction (Substance Use Disorder)
License number
Oregon C2855
Category
Mental Health
Type
Mental Health
Owner
Name: MRS. NIAZ LARSEN LPC, CADC
Title: MENTAL HEALTH & ADDICTION THERAPIST
Phone: (503) 804-1467
Address
Address
511 SW 10Th Ave STE 601, Portland, OR 97205
National Provider ID: 1619418647
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MENTAL HEALTH & ADDICTION THERAPY, LLC at bizstanding.com

MENTAL HEALTH & ADDICTION THERAPY LLC

4654 N Vancouver Ave, Portland, OR 97217

Registration:
Feb 10, 2015
State ID:
108589490
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
Niaz Larsen,511 SW 10 SUITE 601, Portland, OR 97205 (Physical)

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