person
Elissa Kathleen Mantalas, MA
Mental Health Counselor in Portland, Oregon
NPI 1164605499

Elissa Kathleen Mantalas is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Elissa Kathleen Mantalas practices in Portland, OR and has the professional credentials of MA. The NPI Number for Elissa Kathleen Mantalas is 1164605499 and holds a License No. (Oregon).

The current practice location address for Elissa Kathleen Mantalas is 2410 Se 121St Ave Ste 216, Portland, OR and can be reached out via phone at 971-570-4721.

Location: 2410 Se 121St Ave Ste 216, Portland, OR, 97216-4085
person
Provider Profile Details
NPI Number
1164605499
Provider Name
Elissa Kathleen Mantalas
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
2410 Se 121St Ave Ste 216, Portland, OR, 97216-4085
Phone Number
971-570-4721
Fax Number
Provider Enumeration Date
12/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2410 Se 121St Ave Ste 216
City
State
Zip
97216-4085
Phone Number
971-570-4721
Fax Number
person
Provider Business Mailing Address Details
Address
2410 Se 121St Ave Ste 216
City
State
Zip
97216-4085
Phone Number
971-570-4721
Fax Number
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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