Individual provider · Type 1 NPI

Nicole Marie Williams, CADC II/QMHA-I

Mental Health Counselor · Portland, OR

NPI number 1013560713 Active

Practice location

1631 SW Columbia St
Portland, OR 97201-6025

Call (503) 231-2641 Map

Fax (503) 231-1654

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X22-09-20205 (OR)
Mental Health Counselor Primary 101YM0800X24-QMHA-I-004368 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1013560713

Nicole Marie Williams, CADC II/QMHA-I's National Provider Identifier is 1013560713, issued on Jul 22, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 18, 2025.