Marissa Hensley
Marriage & Family Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1962069757
StatusActive
Last updated in NPPESDec 28, 2022
Details
- NPI
- 1962069757
- Entity type
- Individual (NPI-1)
- Name
- Marissa Hensley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2019
- Certification date
- Dec 28, 2022
- Last updated
- Dec 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | R8052 | OR | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
2525 Nw Lovejoy St Ste 204Portland, OR 97210-2863
Phone 503-563-4320 · Fax 971-209-7262
Mailing address
1415 Sw Columbia St Apt 305Portland, OR 97201-2635
Phone 858-668-6671
Other practice locations
3978 Sorrento Valley Blvd Ste 100
San Diego, CA 92121-1436
San Diego, CA 92121-1436
Phone 858-428-0222
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