Provider Demographics
NPI:1841571106
Name:DELANEY, JAMES THOMAS (LMFT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:THOMAS
Last Name:DELANEY
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5039 SW BRUGGER ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-5124
Mailing Address - Country:US
Mailing Address - Phone:301-455-8528
Mailing Address - Fax:
Practice Address - Street 1:7420 SW GARDEN HOME RD STE A
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97223-9599
Practice Address - Country:US
Practice Address - Phone:503-946-6177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-31
Last Update Date:2020-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT0899106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORT0899OtherMENTAL HEALTH COUNSELING