person
Stephanie Maria Canales Basurto
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1851838767

Stephanie Maria Canales Basurto is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Stephanie Maria Canales Basurto practices in Portland, OR. The NPI Number for Stephanie Maria Canales Basurto is 1851838767 and holds a License No. T2451 (Oregon).

The current practice location address for Stephanie Maria Canales Basurto is 12636 Se Stark St Ste 125, Portland, OR and can be reached out via phone at 503-253-4600 and via fax at 503-253-4609.

Location: 12636 Se Stark St Ste 125, Portland, OR, 97233-1058
person
Provider Profile Details
NPI Number
1851838767
Provider Name
Stephanie Maria Canales Basurto
Credential
Provider Entity Type
Individual
Gender
Female
Address
12636 Se Stark St Ste 125, Portland, OR, 97233-1058
Phone Number
503-253-4600
Fax Number
503-253-4609
Provider Enumeration Date
01/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12636 Se Stark St Ste 125
City
State
Zip
97233-1058
Phone Number
503-253-4600
Fax Number
503-253-4609
person
Provider Business Mailing Address Details
Address
12636 Se Stark St Ste 125
City
State
Zip
97233-1058
Phone Number
503-253-4600
Fax Number
503-253-4609
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
22-12-10524 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
License No.
T2451 (Oregon)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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