Provider Demographics
NPI:1235307844
Name:SENYO, MARISHA ANNE (LMFT)
Entity Type:Individual
Prefix:
First Name:MARISHA
Middle Name:ANNE
Last Name:SENYO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8855 SW HOLLY LN
Mailing Address - Street 2:SUITE 107
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-8854
Mailing Address - Country:US
Mailing Address - Phone:503-349-1705
Mailing Address - Fax:
Practice Address - Street 1:8855 SW HOLLY LN
Practice Address - Street 2:SUITE 107
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-8854
Practice Address - Country:US
Practice Address - Phone:503-349-1705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-16
Last Update Date:2008-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT0474106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist