Provider Demographics
NPI:1164557849
Name:COUNSELING SOLUTIONS LLC
Entity Type:Organization
Organization Name:COUNSELING SOLUTIONS LLC
Other - Org Name:KATHLEEN POLSCER SOLE PROPRIETOR
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER REGISTERED AGENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:POLSCER
Authorized Official - Suffix:
Authorized Official - Credentials:MS LPC
Authorized Official - Phone:503-963-8800
Mailing Address - Street 1:PO BOX 820092
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97282-1092
Mailing Address - Country:US
Mailing Address - Phone:503-963-8800
Mailing Address - Fax:
Practice Address - Street 1:325 NW 21ST AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209
Practice Address - Country:US
Practice Address - Phone:503-963-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty