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STEPHANIE CANALES BASURTO
Marriage & Family Therapist
NPI: 1851838767IndividualAccepts Medicare
Specialties, Licenses & Credentials
Marriage & Family TherapistPrimary
Marriage & Family Therapist
Code: 106H00000X
T2451(OR)
Addiction (Substance Use Disorder) Counselor
Counselor — Addiction (Substance Use Disorder)
Code: 101YA0400X
22-12-10524(OR)
CMS Specialties
PrimaryMARRIAGE AND FAMILY THERAPIST
Education
OTHER
Class of 2019
Contact & Hours
- Address
- 12636 SE STARK ST STE 125
PORTLAND, OR 97233 - Phone
- (503) 253-4600
Quick Facts
- NPI
- 1851838767
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 7
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