| Vistas Counseling, LLC | |
|
123 E Powell Blvd Ste 212 Gresham OR 97030-7622 | |
| (971) 777-3272 | |
| (844) 364-1335 |
| Full Name | Vistas Counseling, LLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 123 E Powell Blvd Ste 212, Gresham, Oregon |
| Authorized Official Name and Position | Dina Lynn Yerex (OWNER) |
| Authorized Official Contact | 9712264040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vistas Counseling, LLC 123 E Powell Blvd Ste 212 Gresham OR 97030-7622 Ph: (971) 777-3272 | Vistas Counseling, LLC 123 E Powell Blvd Ste 212 Gresham OR 97030-7622 Ph: (971) 777-3272 |
| NPI Number | 1336623602 |
|---|---|
| Provider Enumeration Date | 09/21/2018 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336623602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Secondary |
| 101YP2500X | Counselor - Professional | () | Primary |
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