| Athelas Psychotherapy | |
|
10557 Se 55th Ave Portland OR 97222-4308 | |
| (503) 893-9670 | |
| Not Available |
| Full Name | Athelas Psychotherapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10557 Se 55th Ave, Portland, Oregon |
| Authorized Official Name and Position | Katherine Hennessy (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 5038939670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Athelas Psychotherapy 10557 Se 55th Ave Portland OR 97222-4308 Ph: (503) 893-9670 | Athelas Psychotherapy 10557 Se 55th Ave Portland OR 97222-4308 Ph: (503) 893-9670 |
| NPI Number | 1366333429 |
|---|---|
| Provider Enumeration Date | 07/15/2025 |
| Last Update Date | 07/15/2025 |
| Certification Date | 07/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366333429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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