person
Glenn David Maia, MA
Mental Health Counselor in Portland, Oregon
NPI 1114353521

Glenn David Maia is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Glenn David Maia practices in Portland, OR and has the professional credentials of MA. The NPI Number for Glenn David Maia is 1114353521 and holds a License No. (Oregon).

The current practice location address for Glenn David Maia is 707 Ne Couch Street, Portland, OR and can be reached out via phone at 503-542-4603 and via fax at 503-233-6093.

Location: 707 Ne Couch Street, Portland, OR, 97232
person
Provider Profile Details
NPI Number
1114353521
Provider Name
Glenn David Maia
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
707 Ne Couch Street, Portland, OR, 97232
Phone Number
503-542-4603
Fax Number
503-233-6093
Provider Enumeration Date
09/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
707 Ne Couch Street
City
State
Zip
97232
Phone Number
503-542-4603
Fax Number
503-233-6093
person
Provider Business Mailing Address Details
Address
707 Ne Couch Street
City
State
Zip
97232
Phone Number
503-542-4603
Fax Number
503-233-6093
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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