ELISSA KATHLEEN MANTALAS

PORTLAND, OR
NPI1164605499
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-12-10
Last Update Date2007-12-10
Business Address
-- ELISSA KATHLEEN MANTALAS MA
2410 SE 121ST AVE STE 216
PORTLAND, OR 97216-4085
Phone number: 971-570-4721
Mailing Address
-- ELISSA KATHLEEN MANTALAS MA
2410 SE 121ST AVE STE 216
PORTLAND, OR 97216-4085
Phone number: