person
John Rezende-shalom
Mental Health Counselor in Portland, Oregon
NPI 1699437806

John Rezende-shalom is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. John Rezende-shalom practices in Portland, OR. The NPI Number for John Rezende-shalom is 1699437806 and holds a License No. 21-QMHA-R-1569 (Oregon).

The current practice location address for John Rezende-shalom is 33 Nw Broadway, Portland, OR and can be reached out via phone at 503-228-7619.

Location: 33 Nw Broadway, Portland, OR, 97209-3609
person
Provider Profile Details
NPI Number
1699437806
Provider Name
John Rezende-shalom
Credential
Provider Entity Type
Individual
Gender
Male
Address
33 Nw Broadway, Portland, OR, 97209-3609
Phone Number
503-228-7619
Fax Number
Provider Enumeration Date
10/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
33 Nw Broadway
City
State
Zip
97209-3580
Phone Number
503-228-7619
Fax Number
person
Provider Business Mailing Address Details
Address
33 Nw Broadway
City
State
Zip
97209-3580
Phone Number
503-228-7619
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
21-QMHA-R-1569 (Oregon)
Definition
Definition to come...
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