Provider Demographics
NPI:1780902718
Name:GARSHA, PATTI (LMFT)
Entity type:Individual
Prefix:MS
First Name:PATTI
Middle Name:
Last Name:GARSHA
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 1:113 MCNARY ESTATES DR N
Mailing Address - Street 2:#D
Mailing Address - City:KEIZER
Mailing Address - State:OR
Mailing Address - Zip Code:97303-7488
Mailing Address - Country:US
Mailing Address - Phone:503-588-0777
Mailing Address - Fax:503-214-2741
Practice Address - Street 1:113 MCNARY ESTATES DR N
Practice Address - Street 2:#D
Practice Address - City:KEIZER
Practice Address - State:OR
Practice Address - Zip Code:97303-7488
Practice Address - Country:US
Practice Address - Phone:503-588-0777
Practice Address - Fax:503-214-2741
Is Sole Proprietor?:No
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT0649101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health