person
Maryjane Wilt, LPC
Mental Health Counselor in Portland, Oregon
NPI 1003106881

Maryjane Wilt is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Maryjane Wilt practices in Portland, OR and has the professional credentials of LPC. The NPI Number for Maryjane Wilt is 1003106881 and holds a License No. C2002 (Oregon).

The current practice location address for Maryjane Wilt is 212 Ne 80Th Ave, Portland, OR and can be reached out via phone at 971-255-1559 and via fax at 971-255-0339.

Location: 212 Ne 80Th Ave, Portland, OR, 97213-7016
person
Provider Profile Details
NPI Number
1003106881
Provider Name
Maryjane Wilt
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
212 Ne 80Th Ave, Portland, OR, 97213-7016
Phone Number
971-255-1559
Fax Number
971-255-0339
Provider Enumeration Date
04/13/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
212 Ne 80Th Ave
City
State
Zip
97213-7016
Phone Number
971-255-1559
Fax Number
971-255-0339
person
Provider Business Mailing Address Details
Address
212 Ne 80Th Ave
City
State
Zip
97213-7016
Phone Number
971-255-1559
Fax Number
971-255-0339
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C2002 (Oregon)
Definition
Definition to come...
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