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Katrina Eloise Bennett

Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).

NPI number1124453097
StatusActive
Last updated in NPPESSep 10, 2013

Details

NPI
1124453097
Entity type
Individual (NPI-1)
Name
Katrina Eloise Bennett
Sex
Female
Sole proprietor
No
Enumeration date
Sep 10, 2013
Last updated
Sep 10, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

1952 Se 122nd Ave
Portland, OR 97233-1304

Phone 503-726-3825

Mailing address

1952 Se 122nd Ave
Portland, OR 97233-1304

Phone 503-726-3825

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