Mrs. Tiana Petit Thompson
Mental Health Counselor Counseling Psychologist
2306 Ne Glisan St
Portland
, Oregon 97232-2392
Mrs. Tiana Petit Thompson
Mental Health Counselor Counseling Psychologist
2306 Ne Glisan St
Portland
, Oregon 97232-2392
(971) 998-6080
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About
Features
Specialties
- Mental Health Counselor
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Mrs. Tiana Petit Thompson
- 3415 Ne 44th Ave
- Portland, OR
- Zip : 97213-1140
- Phone : (971) 998-6080
Second Address
- Mrs. Tiana Petit Thompson
- 2306 Ne Glisan St
- Portland, OR
- Zip : 97232-2392
- Phone : (971) 998-6080
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YM0800X | Mental Health Counselor | LH60586515 | WA |
| Y | 103TC1900X | Counseling Psychologist | C4006 | OR |
National Provider Identifier
| NPI | 1023454097 |
|---|---|
| Provider Name | Mrs. Tiana Petit Thompson |
| First Address | Portland, OR 97213-1140 |
| Second Address | Portland, OR 97232-2392 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2013 |
| Last Update Date | 16/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.