Alicia Banister - Portland, OR

Alicia Banister

Mental Health Counselor in Portland, Oregon

NPI 1649668138

Alicia Banister is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Alicia Banister practices in Portland, OR. The NPI Number for Alicia Banister is 1649668138 and holds a License No. 21093 (Oregon).

The current practice location address for Alicia Banister is 3930 Se Ivon St, Portland, OR and can be reached out via phone at 503-893-2067.

Location: 3930 Se Ivon St, Portland, OR, 97202-1651

NPI Number

1649668138

Provider Name

Alicia Banister

Credential

Provider Entity Type

Individual

Gender

Female

Address

3930 Se Ivon St, Portland, OR, 97202-1651

Phone Number

503-893-2067

Fax Number

Provider Enumeration Date

01/06/2015

Last Update Date

03/09/2024

Address

3930 Se Ivon St

City

Portland

State

Oregon

Zip

97202-1651

Phone Number

503-893-2067

Fax Number

Address

3930 Se Ivon St

City

Portland

State

Oregon

Zip

97202-1651

Phone Number

503-893-2067

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Mental Health

Taxonomy

101YM0800X

License No.

C6803 (Oregon)

Definition

Definition to come...

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

21093 (Oregon)

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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