person
Annastacia Desiree Weiss
Mental Health Counselor in Portland, Oregon
NPI 1619523255

Annastacia Desiree Weiss is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Annastacia Desiree Weiss practices in Portland, OR. The NPI Number for Annastacia Desiree Weiss is 1619523255 and holds a License No. 19-QMHA-I-02193 (Oregon).

The current practice location address for Annastacia Desiree Weiss is 12121 E Burnside St, Portland, OR and can be reached out via phone at 971-361-7700.

Location: 12121 E Burnside St, Portland, OR, 97209-3609
person
Provider Profile Details
NPI Number
1619523255
Provider Name
Annastacia Desiree Weiss
Credential
Provider Entity Type
Individual
Gender
Female
Address
12121 E Burnside St, Portland, OR, 97209-3609
Phone Number
971-361-7700
Fax Number
Provider Enumeration Date
08/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12121 E Burnside St
City
State
Zip
97216-3737
Phone Number
971-361-7700
Fax Number
person
Provider Business Mailing Address Details
Address
12121 E Burnside St
City
State
Zip
97216-3737
Phone Number
971-361-7700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
19-QMHA-I-02193 (Oregon)
Definition
Definition to come...
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