Tazma Ahmed-Datta, LPC
Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1295044147
StatusActive
Last updated in NPPESJan 15, 2016
Details
- NPI
- 1295044147
- Entity type
- Individual (NPI-1)
- Name
- Tazma Ahmed-Datta
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 27, 2010
- Last updated
- Jan 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2006 Se Ankeny StPortland, OR 97214-1622
Phone 503-766-8550
Mailing address
2006 Se Ankeny StPortland, OR 97214-1622
Phone 503-766-8550
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