NPI 1174111561

Light Mind Wellness

Organisation Marriage & Family Therapist Portland, OR

Practice location

Address: 6734 SE Raymond St, Portland, OR 97206-4520
Phone: (503) 926-9567
Mailing address: 5010 SE Foster Rd, Portland, OR 97206-3039

Authorised official

Name: Julia Perretta
Title: Owner/Practitioner
Phone: (503) 926-9567

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X

Other Marriage & Family Therapist providers in Oregon →

Registry record

NPI: 1174111561
Entity type: Organization
NPI issued: 1 Jan 2021
Record last updated: 15 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.