| Urban Counseling Collective Llc | |
|
12225 Sw 2nd St Ste 150 Beaverton OR 97005 | |
| (503) 610-2044 | |
| (503) 296-2102 |
| Full Name | Urban Counseling Collective Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12225 Sw 2nd St Ste 150, Beaverton, Oregon |
| Authorized Official Name and Position | Elisabeth Pesce (SECRETARY) |
| Authorized Official Contact | 9046054986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Counseling Collective Llc Po Box 975 Beaverton OR 97075-0975 Ph: () - | Urban Counseling Collective Llc 12225 Sw 2nd St Ste 150 Beaverton OR 97005 Ph: (503) 610-2044 |
| NPI Number | 1942781943 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942781943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Oregon) | Primary |
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