person
Marley Elizabeth Small, LPC
Mental Health Counselor in Portland, Oregon
NPI 1063937951

Marley Elizabeth Small is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Marley Elizabeth Small practices in Portland, OR and has the professional credentials of LPC. The NPI Number for Marley Elizabeth Small is 1063937951 and holds a License No. IMF100752 (Oregon).

The current practice location address for Marley Elizabeth Small is 1507 Ne 122Nd Ave., Portland, OR and can be reached out via phone at 503-258-4475 and via fax at 503-493-2656.

Location: 1507 Ne 122Nd Ave., Portland, OR, 97230
person
Provider Profile Details
NPI Number
1063937951
Provider Name
Marley Elizabeth Small
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1507 Ne 122Nd Ave., Portland, OR, 97230
Phone Number
503-258-4475
Fax Number
503-493-2656
Provider Enumeration Date
08/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1507 Ne 122Nd Ave.
City
State
Zip
97230
Phone Number
503-258-4475
Fax Number
503-493-2656
person
Provider Business Mailing Address Details
Address
1507 Ne 122Nd Ave.
City
State
Zip
97230
Phone Number
503-258-4475
Fax Number
503-493-2656
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
IMF100752 (California)
Definition
Definition to come...
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