Provider Demographics
NPI:1295055523
Name:SARACENO, ANNE F (LMFT)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:F
Last Name:SARACENO
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 1:3721 SE GRANT CT
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-5839
Mailing Address - Country:US
Mailing Address - Phone:503-231-2920
Mailing Address - Fax:
Practice Address - Street 1:3721 SE GRANT CT
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-5839
Practice Address - Country:US
Practice Address - Phone:503-231-2920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001547106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist